Concert Ticket Order Form by AST INTERNATIOANAL

First and Last Name:	Required
Address:	Required
City:	State: Zip: Required
Phone:	Required
E-mail: Please type carefully.	Required
Please enter the number of tickets you would like to order:
Adult Ticket: $30.00
Child Ticket Up to Age 12: $15.00

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By clicking on the SUBMIT button below, you agree to send a payment in the amount calculated on the order page to the address provided. Please note that all orders are reserved and processed, after your personal check or money order has cleared the bank.

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AST INTERNATIONAL 14120 SE 171st Way #C203 Renton, WA 98058 Tel: 425-226-7346