Diamond Jubilee Cabaret (must be 19 yrs or older to attend)

First Name *

Last Name *

Graduation year (Type NA if not applicable) *

Email address *

Telephone number *

Number of tickets ($25 each) *

Method of payment *

Please call me at the number listed and I will pay via credit card

I will pay in person at Luther College High School

I will pay in person at the Cabaret

May we list your name on the website as attending? *

Yes

No

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