Name: Tickets
Start: 2023-03-31T17:30
Location: Bastrop Municipal Center

Tickets

Memberships

Price

Quantity

Sponsor

Tickets: 1 1

Memberships: 1 1

$275

Quantity:

Couple

Tickets: 2 2

Memberships: 1 1

$60

Quantity:

Single

Tickets: 1 1

Memberships: 1 1

$50

Quantity:

Jakes

Tickets: 1 1

Memberships: 1 1

$15

Quantity:

Subtotal: $

Credit Card Processing: $

Total: $

Purchaser Information

Email Address `

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First Name

Last Name

Suffix (Optional)

Membership Type

Street Address

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City/State/Zip

Cell Phone Number

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Company (optional)

Gender (optional)

Birth Year (optional)

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Payment Information

Register your credit card to complete your ticket purchase.
All information is securely encrypted. All card brands are accepted, but MasterCard or Visa are preferred.

Credit Card Number

Expiration (MM/YYYY)

Credit Card CVC

Billing Zipcode

Ouachita River Local, LA

Tickets

Memberships

Price

Quantity

Sponsor

Couple

Single

Jakes

Subtotal: $

Credit Card Processing: $

Total: $

Purchaser Information

Payment Information

Subtotal: $

Credit Card Processing: $

Total: $