THE X-PERIENCE DANCE COMPANY 5TH ANNIVERSARY CELEBRATION
Please fill out your details below.
Full Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Will you be joining us for both the Concert and Dinner
Yes
No, just the dinner
No, just the concert
My Products
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General Admission Concert Ticket
$
30.00
Quantity
1
2
3
4
5
6
7
8
9
10
Anniversary Dinner
$
50.00
Ticket Type
Quantity
Price
Adult
1
2
3
4
5
6
7
8
9
10
$
50.00
Child
1
2
3
4
5
6
7
8
9
10
$
40.00
Concert and Dinner Package
$
70.00
Ticket type
Quantity
Price
Adult
1
2
3
4
5
6
7
8
9
10
$
70.00
Child
1
2
3
4
5
6
7
8
9
10
$
60.00
Enter coupon
Apply
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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