| Make checks payable to: |
Missouri State Cornhusking |
|||
| Adult Tickets |
$8.00 each |
X ______________ |
= |
$ _______________ |
| Kids tickets ( under 12 ) | $6.00 each | X _______________ | = | $_______________ |
| Name |
_________________________________________________ |
| Address |
_________________________________________________ |
| City |
_________________________________________________ |
| State |
_________________________________________________ |
| Zip |
_________________________________________________ |
| Phone Number |
_________________________________________________ |
| Emma Johnson 10480 Starlight Lane Montgomery City, Mo 63361 |