LipSync Ticket Order Form

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LipSync Ticket Order Form - LCC Foundation

Join us for LipSync 2007

Sunday, October 14, 2007, 6 p.m.
LCC's Dart Auditorium

We are not able to process credit card payments on line
Please print this form and mail with check, or payment information to:

LipSync
8021 - Foundation
P.O. Box 40010
Lansing, MI 48901-7210

Contact Name (First, Middle, Last)

Company/Organization
Mailing Address (line one)
Mailing Address (line two)

City	State	Zip

E-mail Address	Daytime Phone

Number of Tickets Total Amount to be billed to my credit card x $25 per ticket $

Visa MasterCard DiscoverAMEX

Credit Card Number	Expiration Date

Name of Card Holder (if different)

Mail tickets to the address above
Use a different mailing address

Billing Address (if different)
Billing City	State	Zip

You may claim $15 of the ticket price as a tax deduction. Proceeds from LipSync 2007 go to support student scholarships.

Send printed form with ticket information to:

LipSync
8021 - Foundation
P.O. Box 40010
Lansing, MI 48901-7210

For further information contact the LCC foundation at (517) 483-1985