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Name of Contact Person: Show Location Name: Street Address: City: State:
Zip: Contact Phone Number: Alternate Phone Number: (Cell, etc.) Number of Shows Needed: Number of Scouts per Program: Is this a Blue & Gold?: Yes No
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1st Choice Program Date: Month:
Day:
Year:
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2nd Choice Program Date: Month:
Day:
Year:
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WE WILL CONFIRM THIS SHOW WITHIN 24 HOURS BY PHONE. ONCE CONFIRMED YOU WILL RECEIVE AN INVOICE APPROXIMATELY ONE MONTH PRIOR TO THE SHOW.
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Email:reptiled@concentric.net Phone: 973-248-9964
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All photographs are the property of Snakes-n-Scales and Turtle Tales and may not be used without permission. Photographs by Joe Boesenberg
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