Date of event: ___________________________________________________
Sponsoring Arts Group: ____________________________________________
Circle the appropriate description:     Music     Exhibit   Dance     Film
Title of Event: ____________________________________________________
Theatre     Play     Lecture/Class     Tour              For Children     Other ______
Location: ________________________________________________________
Time: ___________________________________________________________
Price: ___________________________________________________________
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Phone number for information*: (______)________________________________
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Your Name: __________________________Your Phone: (_____)___________