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1. Customer Information

 
 50% of survey complete.
The list to attend the reading of YERMA is currently full. If you'd like to be added to the wait list, please complete this form. Please note that your seats are not guaranteed. You will be contacted in the case that seats become available.

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* 1. I wish to be added to the wait list for the reading of Melinda Lopez's Yerma

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* 2. Please confirm the date and time of the reading:

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* 3. Please confirm the location of the reading:

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* 4. Please indicate the number of seats you would like to add to the wait list:

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* 5. First Name

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* 6. Last Name

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* 7. E-Mail Address (Your contact info will be used only in the event of a rescheduling or cancellation)

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* 8. Phone

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* 9. Company Name

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