2016-2017 SEASON TICKET PACKAGE ORDER FORM

2016-2017 SEASON TICKET PACKAGE ORDER FORM 2015-2016 Seat Location: _____________________________________________  Stay: I want the same seat(s) as the 2015-2016 season.  Move: I’d like to change my seat(s) for the upcoming season. Requested seat/section: __________________________________________________ ______________________________________________________________

Name: Company: Address: City, State, Zip Code: Phone: Email: SEATING TYPE Premium

Adult

Reserved

Saturday & Flex Package

SEASON TICKET PRICE $561

Senior (65 plus)

$510

Student (18 and under)

$374

Adult

$510

Senior (65 plus)

$459

Student (18 and under)

$374

Deposit Only

$25

# of Tickets

AMOUNT DUE

Premium Seating is all of sections 103/203, 104/204, 105/205, 109, 110, 111/211, 112, 113, 118/218, 119/219, 120/220, and the first two rows of sections 101, 102, 106, 107, 116, 117, 121 and 122. All other seats are considered reserved.

SUBTOTAL: 

Less $25.00 Early Bird Credit: TOTAL AMOUNT DUE: PAYMENT AMOUNT: BALANCE REMAINING:



Automatic Monthly Payment Program 



Balance Remaining will be divided into equal monthly payments starting the 1st of the month after the Down Payment is received and concluding in October 2016. By initialing, I authorize the Erie Otters to use my credit card provided for my Automatic Monthly Payment. ____________________________

Account No: PAYMENT TRANSACTIONS

Expiration Date

No. Payments

Amount/Payment

AMOUNT

METHOD

BALANCE REMAINING

     

Cash Check Credit Cash Check Credit

Darcie Chabola Darcie Chabola, Erie Otters

Season Ticket Holder

Date Signed