2017 EPYAL Senators Form.pdf

EPYAL Night at the Harrisburg Senators Saturday, May 6, 2017 Game Time: 6:00pm Gates Open: 4:30pm Matt Stairs Bobblehead Giveaway Stand on the field for the national anthem Name: ___________________(Parent’s Name)_________________ Phone: ________________ Email: __________________________ Division/Team: _________________________________________ Address: _____________________________________________ City: _________________________ State: ______ Zip: ________ Tickets: Free player ticket (1 for each paid adult) ____ Number of additional Tickets Needed: ____ x $11 = ____ Payment: ___Cash ___Credit card ___ check (make out to Harrisburg Senators) Card: _______ Name on Card: _________________________________ Card Number: __________________________ Exp: __/___ Security Code: ____

Make sure to wear your jersey at ourth game! Orders due back to the concession stand by April 19 Questions: [email protected] or [email protected]