Name:__________________________________
Address_________________________________
City _____________________________________ Zip Code________________
| Type of Seating | Cost per ticket |
Number of Tickets Requested |
Shipping & Handling | Total |
| General Admission | $105.00 | $2.00 | ||
| Front Row Seats | $300.00 | $2.00 | ||
| Press Box Seats | $1000.00 | $2.00 | ||
| Standing Room Only | $25.00 | $2.00 |
| Grand Total |
To purchase a ticket for you, your entire family or as a special gift for a friend sent for each special "Life time Reserved" ticket send this form to:
Mable Love Brown
Samaritan Hands Paraguay School
% Fairview United Methodist Church
2508 Old Niles Ferry Rd.
Maryville, TN 37803