2016-17 SEASON TICKET APPLICATION
First Name: _________________________ Last Name:__________________________ Company Name: ________________________ Phone: _____________________________ (Home/Work/Cell) Email: ____________________________________________________ Address: _________________________________________________ City: _____________________ Postal Code: _______________ Section Row Seat
Adult Sen Stu Child
______ _____ _____
___ ___ ___ ____ $___________
______ _____ _____
___ ___ ___ ____ $___________
______ _____ _____
___ ___ ___ ____ $___________
______ _____ _____
___ ___ ___ ____ $___________
2016-17 SEASON TICKET APPLICATION
______ _____ _____
___ ___ ___ ____ $___________
AMOUNT
______ _____ _____
___ ___ ___ ____ $___________
DEPOSIT
$___________
BALANCE OWING
Total Amount Due
Price
Box Office Use Only: Order No.________________ Customer No._________________
Payment Method: (Please make cheques payable to the Peterborough Memorial Centre) Visa MasterCard AMEX Debit Cheque Cash
Check this box to receive information regarding non-Petes events taking place at the Peterborough Memorial Centre
Card #:_______________________________________________ Expiry Date: _______________ Order No:___________________ (Office use only)
PAY AS THE PETES PLAY PLAYOFF PRE-AUTHORIZATION Credit Cards will automatically be charged per Petes 2016-17 playoff game
DATE (MM/DD)
Signature.
Check this box to accept. Separate form must be filled out for 2015-16 playoff pre-authorization. Credit Card Hold. No refund on games played.
NOTE: There will be a $20 administration fee to replace lost contract cards or to move seats after processing. A $2 per ticket fee will be charged to reprint tickets. For all ticket inquiries please contact the Petes office at 705-743-3681 or [email protected]
Adult Sen Stu Child
______ _____ _____
___ ___ ___ ____ $___________
______ _____ _____
___ ___ ___ ____ $___________
______ _____ _____
___ ___ ___ ____ $___________
______ _____ _____
___ ___ ___ ____ $___________
2016-17 SEASON TICKET APPLICATION
______ _____ _____
___ ___ ___ ____ $___________
AMOUNT
______ _____ _____
___ ___ ___ ____ $___________
DEPOSIT
$___________
BALANCE OWING
Total Amount Due
Price
Box Office Use Only: Order No.________________ Customer No._________________
Payment Method: (Please make cheques payable to the Peterborough Memorial Centre) Visa MasterCard AMEX Debit Cheque Cash
Check this box to receive information regarding non-Petes events taking place at the Peterborough Memorial Centre
Card #:_______________________________________________ Expiry Date: _______________ Order No:___________________ (Office use only)
PAY AS THE PETES PLAY PLAYOFF PRE-AUTHORIZATION Credit Cards will automatically be charged per Petes 2016-17 playoff game
DATE (MM/DD)
Signature.
Check this box to accept. Separate form must be filled out for 2015-16 playoff pre-authorization. Credit Card Hold. No refund on games played.
NOTE: There will be a $20 administration fee to replace lost contract cards or to move seats after processing. A $2 per ticket fee will be charged to reprint tickets. For all ticket inquiries please contact the Petes office at 705-743-3681 or [email protected]
