To order your tickets please complete the form below and send a check payable to
The Scarab Club along with a self addressed envelope to:

 Clear Form

VELDA KELLY
22839 MAPLE STREET
FARMINGTON, MI 48336

SUBSCRIPTIONS (tickets for 4 or more concerts) SINGLE TICKETS (fewer than 4 concerts)
price # of tickets total price # of tickets total
10/26 at GPUC $15 x = $ $18 x = $
12/7 at Scarab Club $15 x = $ $18 x = $
1/25 at Marygrove $15 x = $ $18 x = $
3/8 at Scarab Club    $15 x = $ $18 x = $
4/19 at GPUC $15 x = $ $18 x = $
5/31 at Scarab Club $15 x = $ $18 x = $
tax-deductible contribution = $ = $
Grand Total = $ Grand Total = $

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