10G Boxing Vasquez

- NEW

Today’s Date: _________________

- RENEWAL

2016-17 NIU Huskies Women’s Basketball Season Ticket Order Form Acct #: _______________ Contact Name: Business Name:

Email:

Address: City

State

Day Phone:

Zip Code

Evening Phone:

Season Ticket Package General Public Reserved

Ticket Price $50

Total

# of Tickets

Courtside Seating**** (NEW!)

$50

$

General Public Reserved (Football Combo*)

$40

$

General Public Reserved (MBB Combo**)

$40

$

Senior (62+) D.O.B ____/____/____ Faculty, Staff, Varsity Club or Alumni***

$40

$

$40

$

Alumni or Faculty/Staff #: Women’s Basketball/Volleyball Combo^

$35

$

General Admission

$35

$ $5.00

HANDLING TOTAL *Must be a Football Season Ticket Holder **Must be a Men’s Basketball Season Ticket Holder ***Must be a paying member of NIU Alumni Association ****Requires Huskie Athletic Fund Donation ($150 Per Seat – Check payable to NIU Foundation) ^Must be a Volleyball Season Ticket Holder

Questions or Comments?

$ To Order Over Phone or Questions:

815-753-PACK (7225) Mail to:

NIU Athletic Ticket Office 1525 W. Lincoln Hwy NIU Convocation Center DeKalb, IL 60115 Fax:

815-752-6801

Payment Information Amex Visa MC

3

Exp.

4

Exp.

5

Exp.

6

Exp.

Dis CVV # NIU Payroll Deduct

Please Include Basketball Payroll Deduct Form With Order Form

Cash Check(s) Ticket Check # __________

HAF Check # __________

Ticket Check: Make Payable to NIU Athletics HAF Donation Check: Make Payable to NIU Foundation