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  (Fields with * are mandatory)
  Show Date Request:
  Start time of the show:
  Contact Name:
Magic Show Company Name:
  Billing Address:
  Location of Performance (if different than above):
* Magic Show
  Zip/Postal Code :
  Please specify the ages of the children attending:
? Type of Event:
* Cost of Performance $ Magic Show
Type of Organization:
Child Care Center
Camp Private birthday Recreation Center
? How did you hear about us?:
? Have you ever booked with Philip & Henry Productions Inc, before? *
Yes No
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If your show request is available, you will receive a confirmation fax within 48 hours which must be signed and re-faxed to us as soon as possible to reserve your date.

Important: Your show is NOT booked or confirmed until you receive the faxed confirmation from our head office. Certain conditions may apply.



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