Purchase PURCHASE FORM Please fill in the form below to purchase ticket books from Leslie and Charlie. Each ticket book contains 3 tickets. You can pick up your ticket book(s) before or after class. Ticket books purchased online with a credit card cost $78. Ticket books purchased with cash or check cost $75. Name* First Last Email* Enter Email Confirm Email Primary Phone*Secondary PhoneoptionalBilling Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Ticket BooksTicket Books Price: $78.00 Each ticket book contains 3 tickets. Quantity*Number of Ticket BooksLeslie's Fun Money Price: $0.33 Leslie. this field is for testing. This field only shows with a first name of Devra.Total costPaymentCredit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Total $0.00 CAPTCHAYou must receive a PayPal receipt!When you submit this form, you will be sent to PayPal to pay for your purchase. When your PayPal transaction is complete, you will be redirected to this site. If you do not receive an email receipt from PayPal, your purchase is not complete. Please check your email after returning from PayPal.NameThis field is for validation purposes and should be left unchanged.