Birthday Package $150.00 Additional Guests $15 x

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Birthday Package Includes:  Reserved Party Location with Table(s) and Seating  Food for up to 10 Individuals  Birthday Cupcakes  Birthday Gift  Birthday Recognition at the Game  Opportunity to Meet your Favorite Highlander Players Birthday Package Order Form Parent’s Name: _______________________________________________________________________________ Child’s Name: _______________________________________________ Child is turning ________ M/F: _____ Address: _____________________________________________________________________________________ City: _________________________________________ State: ________________________ Zip:_____________ E-mail: ____________________________________________ Phone: ___________________________________ Volleyball match you would like to attend: ________________________________________________________

Birthday Package Additional Guests $15 x

$150.00 = $ Total $

- Orders must be received two weeks prior to game - Orders taken on a first come first serve basis - Once order is received, Radford Athletics will contact you to confirm the party - Questions? Call 540-831-7889

Payment Information Check #: Credit Card: PLEASE CIRCLE ONE: Visa / MasterCard / Discover / AMEX Card #: CCV# Cardholder Signature:

Amount: $ Exp. Date: Date:

*Please make checks payable to Radford University* Mail Completed Form & Payment to: Radford University Athletics Attn: Marketing PO Box 6913 Radford, VA 24142 OR [email protected]