ANGOLA PRISON RODEO - TICKET ORDER FORM

Shipping Address:

Name:   _{___________________________________________}

Street/State/ZIP:   ____________________________________________________________________________

Phone:  (_____) ______ - __________ (Home)     (_____) ______ - __________ (Work)

_{MAIL (if time allows)  __________  or HOLD AT "WILL CALL" BOOTH  __________}

_{NOTE:  A child 2 years old or under is admitted free if they are held by an adult.}

NOTE:  No Personal checks allowed.  All sales are final.  Tickets are not exchangeable or refundable.  Rodeo held Rain or Shine. "Will Call' tickets must be picked up by the individual whose name is on the order. All tickets must be picked up at the same time.

_{Make Cashier's Check or Money Order payable to ANGOLA PRISON RODEO, or charge to a Visa, MasterCard, American Express or Discover Card by completing the following information:}

Billing Name and Address - If different from above:  (NOTE:  This name and address must match the credit card billing name and address.)

Name:    _____________________________________

Street/State/Zip:  __________________________________________________________________________

Credit Card No. _______________________________        Expiration Date:  ______________

Last three digits on the right, on back of credit card:  _____________ (Required for processing)

Signature:  ____________________________________  (Person whose name appears on the card)

Comments:

Mail FORM and PAYMENT, IF APPLICABLE to:

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