Little Flower Catholic High School

Ticket sales for Mother/Daughter Dance

$60.00 Mother/Daughter Set

$15.00 per additional current LF student.

$25.00 per additional Woman
example: grandmom, aunt, sister, cousin
(must be 12 years old & up)

Tickets

Qty

Description

Amount

Total

Mother/Daughter Set

$60.00

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Additional Current LF Student

$15.00

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per student

Additional Woman example: grandmom, aunt, sister, cousin (must be 12 years old & up)

$25.00

---

per person

Total: $0.00

Guest Information

Student First & Last Name: *

Student's Homeroom: *

Mother of Student: *

Name(s) of Additional Student(s):

Name(s) of Additional Guest(s):

Payer Information

First Name: *

Last Name: *

Class of (if applicable for alumnae):

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

Cell Phone: *

Email: *

A receipt will be emailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *