individual group order form

Transcription

individual group order form
2015 nsaa wrestling
Championship finals
Century Link Center – Omaha, NE
Saturday, February 21, 2015
Matches Begin at 9:30 a.m. with Finals at 3:00 p.m.
Youth Group Ticket Order Form
Must Be Received by Monday, February 16th
Contact Name: _____________________________________________________________________________
Group/Organization Name:
___________________________________________________________________
*All Groups/Organizations may be subject to verification. Youth groups are to be 8th grade and under.
Phone Number: ___________________________________ Email Address: ____________________________
Each youth group ticket packet includes 10 youth tickets and 2 adult tickets in reserved seating for session 6 (all day
Saturday). Cost per ticket packet is $40.
________ Number of Ticket Packets
________ Total Cost
Payment Information (please indicate which form of payment will be used and include with this order form)
________ Cash
________ Check (written to NSAA)
________ Credit Card ($2.50 convenience charge)
*No personal checks
Cardholder:
_______________________________________________________________________________
Card Type (please circle): VISA
Mastercard
Discover
American Express
Card Number: _________________________________________ Expiration: ___________ CVV Code: _________
Billing Address: _____________________________________________________________________________
City, State, ZIP: _____________________________________________________________________________
Preferred method to receive the tickets:
________ Pick up at the NSAA Office, 500 Charleston Street, Lincoln (pick up by Wednesday, February 18)
________ Mail (please include address)
Name:
_____________________________________________________________________________
Address:
_____________________________________________________________________________
City, State, ZIP: _____________________________________________________________________________
Return order form by mail, email (scan in) or fax with payment (information) to:
NSAA
Email: Megan Huber, mhuber@nsaahome.org
Attention: State Wrestling Youth Group Tickets
Fax Number: 402-489-0934
P.O. Box 85448
Lincoln, NE 68501