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Name______________________________________________________

Concert Ticket – Qty_________x $20.00 =___________________

Concert & Dinner – Qty___________x $35.00=________________

Nacho Plate – Qty_____________x $5.00=_____________________

Total Amount Due____________________________

If ordering dinner please select which Entrée you are having

Entrée #1- Home Made Chicken & Biscuits

Entrée #2- Grilled Chicken Breast, Sweet & Sour Sauce

Entrée#3- Spaghetti with Meat Sauce

Entrée # 4- North Atlantic Cod

Entrée #5- Grilled Chicken Caesar Salad