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Father/Guest First Name
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Father/Guest Last Name
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How many sweethearts will be attending? $21.00 per couple if paying by Pay Pal or $20.00 cash or check by February 10th.
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1st Sweetheart
2nd Sweetheart
3rd Sweetheart
4th Sweetheart
Sweethearts Name
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Sweethearts Name
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Sweethearts Name
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Sweethearts Name
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Email Address
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Ticket Price
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21.00