The Victorian Lady Order Form

To order tickets for upcoming events, please print this form, complete and send along with payment to the address below. Thank you for your interest in The Victorian Lady.

NAME OF EVENT________________________

DATE OF EVENT _________

PLACE_________________________________

NO. OF TICKETS __________________________

Make check payable to:        The Victorian Lady                
Reserved Table (if applicable)?  Yes or No  Reserved Tickets (if applicable)? Yes or No

SPECIAL INSTRUCTIONS:                                                                                                                  

Name:                                                             

Street Address:                                                

City:                         State:         Zip:              

Phone No.:                                                     

E-mail Address:                                             

Enclose this order form, a check payable for the total amount and mail to:

J'Nean Henderson
720 3rd Street
League City, Texas 77573

 

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