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We ask concert-goers to make a $10 donation per person. Please fill out the following completely.

Name

Telephone

Email

I'd like to reserve a seat for the following concert (please fill in):

I am paying by:
If you wish to pay by check, please fill out the above form and print it, and send it along with your donation
of $10 per person payable to: Julie Wade Levy, 1001 Lydia Street, Austin, TX 78702.

Click here toregistration form.

Click here to form and proceed to pay via credit card and PayPal.

 

 

 

 

 

 

 

©2005 Julie Wade Lévy and François Lévy. Site hosted by Maiatech.