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Student Kick-off Celebration of 50 years of JSU Nursing With The Please Print this form and mail it in with payment. Tickets: Single: $35.00 (Includes 1 ticket and 1 Diner Plate) or $50.00 (Includes 1 ticket 1 Dinner Plate and 1 Go Red Masquerade T-Shirt) Couple: $65.00 (Includes 2 ticket and 2 Dinner Plates) or $90.00 (Includes 2 tickets and 2 Dinner Plates and 2 Go Red Masquerade T-Shirts) ***Tickets only include the Go Red T-Shirt. Each additional Go Red T-shirt is $20 per shirt (Add $2 for 2x and up.) To be guaranteed T-Shirt size, tickets must be ordered by Friday, January 27, 2017 If paying with checks: Please make all checks payable to JANS Please order tickets on one check and T-Shirts on another. Please mail checks and this form to: Jacksonville State University Department of Nursing C/O Melissa Duckett 700 Pelham Road North Jacksonville, AL 36265 Attire for this event: Sunday Best to Formal, and it does not have to be red. We just need you to dress nice. You can wear masks to this event but you do not have to purchase them. We will be providing masks, but you are more than welcome to bring your own. RSVP: First: __________________ M: __ Last:____________________ +1 First: __________________ M: __ Last:____________________ Email:______________________ Phone:______________________ Address:_______________________________________________ City:__________________ State: ____ Zip:______________

Student Kick-off Celebration of 50 years of JSU … Masquerade Ball RSVP.pdfStudent Kick-off Celebration of 50 years of JSU Nursing With The Please Print this form and mail it in with

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Student Kick-off Celebration of 50 years of JSU Nursing With The

PleasePrintthisformandmailitinwithpayment.Tickets:Single:$35.00(Includes1ticketand1DinerPlate)or$50.00(Includes1ticket1DinnerPlateand1GoRedMasqueradeT-Shirt)Couple:$65.00(Includes2ticketand2DinnerPlates)or

$90.00(Includes2ticketsand2DinnerPlatesand2GoRedMasqueradeT-Shirts)

***TicketsonlyincludetheGoRedT-Shirt.EachadditionalGoRedT-shirtis$20pershirt(Add$2for2xandup.)TobeguaranteedT-Shirtsize,ticketsmustbeorderedbyFriday,January27,2017Ifpayingwithchecks:PleasemakeallcheckspayabletoJANSPleaseorderticketsononecheckandT-Shirtsonanother.Pleasemailchecksandthisformto:JacksonvilleStateUniversityDepartmentofNursingC/OMelissaDuckett700PelhamRoadNorthJacksonville,AL36265Attireforthisevent:SundayBesttoFormal,anditdoesnothavetobered.Wejustneedyoutodressnice.Youcanwearmaskstothiseventbutyoudonothavetopurchasethem.Wewillbeprovidingmasks,butyouaremorethanwelcometobringyourown.RSVP:First:__________________M:__Last:____________________+1First:__________________M:__Last:____________________Email:______________________Phone:______________________Address:_______________________________________________City:__________________State:____Zip:______________

If you would like to purchase a shirt and cannot come to the event, it is $20 per shirt. Please add $5 for shipping and please add the address you would like us to ship to. GoRedT-ShirtPleaseleaveamemoitthisfieldnotingthesizesandquantityofeachsizethatyouwouldliketoorder.

50thAnniversaryT-ShirtWillbeavailabletopurchasefor$20.00

PerT-shirtattheEvent($22for2xandup)

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