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Ticket Order Form
for benefit performance* of
"The Vagina Monologues"
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(NOTE: THIS IS NOT AN E-MAIL FORM BECAUSE WE REQUIRE YOUR SIGNATURE AND THE DATE.
PLEASE PRINT THE FORM AND MAIL IT AS INDICATED BELOW.)

Name:____________________________________________________________________

Street Address:_____________________________________________________________

City:_____________________________ Province/State: ____________________________

Country:__________________________ Postal/Zip Code: __________________________

Phone: (      ) ________________ E-Mail: ________________________________________

Signature: __________________________________________ Date: __________________

I wish to order _____ ticket(s) at the price of $30.00 each for Friday, March 3, 2006.
I wish to order _____ ticket(s) at the price of $30.00 each for Saturday, March 4, 2006.

Showtime: 8:00 pm, Waterloo Entertainment Centre
(formerly Waterloo Stage Theatre) 24 King St. North, Waterloo, ON.

I have included a cheque or money order (Payable to: "The Raspberry Tarts").
Please send my tickets by mail.
(You must include a stamped, self-addressed envelope if you want tickets mailed to you.)

Mail to:
The Raspberry Tarts, c/o Gerri McAskill
4 Lormar Drive, Toronto, ON M9B 4V6
416-239-9903, vagina_warrior_Gerri@myway.com

If you are in the K-W area, call:
Karis, 519-743-4569 or Pat, 519-748-2489

* Proceeds to:
Women's Crisis Services
of Waterloo Region

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