Ticket order form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=66 BGCOLOR="#000000" TEXT="#F7F7FF"> <div> <B> The Official Website of the</B></div> <div> <B>Withlacoochee Bluegrass Jamboree</B></div> <div>                                                   </div> <div> </div> </td> </tr><tr> <td valign="top" height=390 BGCOLOR="#000000" TEXT="#F7F7FF"> <div> <I>Ticket order form</I></div> <div> Just print and complete this form, and mail <B>with your check payable to Withlacoochee Bluegrass.</B></div> <div> <B>Please </B><B>include a stamped, self-addressed envelope</B> for ticket return and camping confirmation to:</div> <bR> <div> <B>Withlacoochee Bluegrass</B></div> <div> <B>PO Box 180</B></div> <div> <B>Dunnellon, FL  34430</B></div> <bR> <div> <B>for information call (352)465-1842</B></div> <bR> <bR> <bR> <div> Name:              ____________________________________________</div> <bR> <div> Address:          ____________________________________________</div> <bR> <div> City/State/Zip:  ____________________________________________</div> <bR> <div> Motor Home?       Travel Trailer?       5th Wheel?        Tent?                (circle one)</div> <bR> <div> Length of camper in feet?   ___________________________________</div> <bR> <div> Campsite with Electric hookup if available ($39)?        Yes  or  No  (circle one)</div> <bR> <div> Primitive camping ($15) ?                                                Yes  or  No  (circle one)</div> <bR> <div> Number of tickets:   ______ Adults     ______ Juniors (age 13-15)    ______ Child(ren)  (age 6-12)</div> <bR> <div> (These are advance tickets for the whole weekend)</div> <bR> <div> Total amount enclosed:    $ ___________</div> <bR> <div> <B>SAVE BY BUYING YOUR ADULT WEEKEND ADVANCE TICKETS FOR ONLY $50!</B></div> <div> <B>(gate price: $55)</B></div> <div> <B>Children, age 6-12, 3 days:  $3</B></div> <div> <B>Juniors, age 13-15, 3 days:  $12</B></div> <div> <B>Primitive camping, 3 days:  $15</B></div> <div> <B>RV electric/water hookup, 3 days:  $39</B></div> <bR> </td> </tr><tr> <td valign="top" height=24 BGCOLOR="#000000" TEXT="#F7F7FF"> <div> <B>Home - </B><A HREF="ticket_order_form.htm" TARGET="_top" TITLE="Ticket order form"><U><B>Ticket order form</B></U></A><B> - </B><A HREF="spring.htm" TARGET="_top" TITLE="Spring"><U><B>March Festival</B></U></A><B> - </B><A HREF="fall.htm" TARGET="_top" TITLE="Fall"><U><B>November Festival</B></U></A><B> -</B><A HREF="directions.htm" TARGET="_top" TITLE="Directions"><U><B>Directions</B></U></A><B> -  </B><A HREF="schedule___withlacoochee.htm" TARGET="_top" TITLE="Schedule Withlacoochee"><U><B>Schedule</B></U></A><B> - </B><A HREF="withlacoochee_bluegrass_festival_photos.htm" TARGET="_top" TITLE="Withlacoochee Bluegrass Festival Photos"><U><B>Festival photos</B></U></A><B> - </B><A HREF="index.htm" TARGET="_top" TITLE="Scott Anderson"><U><B>Scott Anderson Homepage</B></U></A></div> </td> </tr></table></body>