Print Form Submit by Email Ticket Order Form First Name by youmustknowme

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									                                                                                                                                   Print Form                  Submit by Email




                                                                    Ticket Order Form
First Name                                                                          Last Name
Address


City                                                                         State                                           Zipcode
Phone                                                              E-mail Address



 Entertainment Tickets                                                                 Grandstand
                                                                                          Qty
                                                                                                     Grandstand
                                                                                                        Total
                                                                                                                  Box Seat
                                                                                                                    Qty
                                                                                                                               Box Seat
                                                                                                                                Total
                                                                                                                                           Track Seat
                                                                                                                                              Qty
                                                                                                                                                        Track Seat
                                                                                                                                                          Total
                                                                                                                                                                      Line Total



 "1964" The Tribute Grandstand $10.00 Box and Track Seats $15.00
 ("1964" is not affiliated with or endorsed by Apple Corps Ltd.)


 "BULLMANIA" Grand Stand $10.00ea. Box Seats $12.00ea.
 JLO Supercross Grand Stand $8.00ea. Box Seats $10.00ea.
 Demolition Derby July 20th Grand Stand $12.00ea. Box Seats $15.00ea.
 Demolition Derby July 21st Grand Stand $12.00ea. Box Seats $15.00ea.
 Demolition Derby July 22nd Grand Stand $12.00ea. Box Seats $15.00ea.
 Hoosier Highway with Wild Rodeo (ALL SEATS $5.00ea.)
                                                                                                                                                        Sub-Total

 General Admission Tickets
 General Admission Season Pass ($20.00)
 General Admission Tickets Adult ($5.00ea.)
 General Admission Tickets Senior (62 and older $3.00ea.)
 General Admission Tickets Child (Ages 10 - 15 $2.00ea.)
 General Admission Tickets Ages10 and under are FREE                                                                                                    Sub-Total


                                                                                                                                          Order Total
                                                                                                                    Order Total Includes $2.00 Service Charge Per Order


 To Pay By Check
 Please fill out form and print.Then mail form and a check made out
 to: LaPorte County Fair
                                                                                     Name as it appears on credit card
 To Pay By Credit Card
 Please fill out form to the right and click the "submit by e-mail"
 button or print out the form and mail it to the same address for
 paying by check. (Signature not required for e-mail)
                                                                                     Credit Card Number
 Mail to:                                  Attn: Tickets
                                          LaPorte County Fair
                                                                                                                                    VISA                       Mastercard
                                          2581 W. State Rd. 2
                                           LaPorte, IN. 46350                        Expiration Date MM / YYYY


 Please allow 2 weeks for processing, No mail orders after July                      ______________________________________________________________
 6th. Please print completed form and bring to the LaPorte                           Signature
 County Fair Grounds Office to pickup your ticket order.

								
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