Name |
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Phone # |
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Dept/Office/Student Group |
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Address where tickets are to be delivered |
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Account Number (for Budget transfers) |
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# of $8 tickets (Faculty/Staff) | |
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# of $5 tickets (Student) | |
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# of Turkey lunches | |
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# of Vegetarian lunches | |
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# of student tickets placed on the meal card; please provide names & ID#s on lines below | |