2016-2017 TICKET PACKAGE ORDER FORM

2016-2017 TICKET PACKAGE ORDER FORM  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:

Seat Location(s):

Company:

2016-2017 Full Season:

Address:

2016-2017 Saturday Package:

City, State, Zip Code:

2016-2017 Flex Package:

Phone: Email: PACKAGE TYPE Full Season

Saturday Package

Flex-17 Package

Flex-10 Package

Flex-4 Package

Adult

# of Tickets

RESERVED LEVEL PRICE $510

Senior (65 plus) & Military Student (18 and under)

$510

$459

$374

$374

Adult

$285

$255

Senior (65 plus) & Military Student (18 and under)

$255

$225

$180

$180

Adult

$323

$289

Senior (65 plus) & Military Student (18 and under)

$289

$255

$204

$204

Adult

$195

$175

Senior (65 plus) & Military Student (18 and under)

$175

$155

$125

$125

Adult

$78

$70

Senior (65 plus) & Military Student (18 and under)

$70

$62

$50

$50

TOTAL # of TICKETS: 

PREMIUM LEVEL PRICE $561

# of Tickets

AMOUNT DUE

TOTAL AMOUNT DUE:

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