Ticket order form 2012 SOLD OUT

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Youth & Discipleship Department—Park Tickets PO Box 2430 Phone: 423-478-7222 Cleveland, TN 37320-2430 Email: [email protected]

General Assembly Theme Park Ticket Order Form [All Pricing subject to change] Name

Phone

Address

City

State

Zip

Shipping Address

Email

Orlando, FL Park Tickets (Please circle your selection) General Assembly Guest Prices

STARTER TICKETS (1 park per day)

PARK HOPPER TICKETS

SOLD OUT



$165.00 $152.00

$218.00 $206.00

TOTAL PAID PACKAGES

TOTAL COST

PRICES ARE PER-PERSON

1-Day Disney Tickets (see description)**

Ages 3+

2-Day Disney Tickets

Ages 10+ yrs. 3-9 yrs.

(see description)**

**(Visit multiple Disney Theme Parks on the same day)

3-Day Disney Tickets (see description)**

Ages 10+ yrs. . 3-9 yrs.

$228.00 $210.00

$281.00 $263.00 **(Visit multiple Disney Theme Parks on the same day)

After 2pm After 4 pm

$69.00 $55.00

— —

Universal Orlando/ Islands of Adventure (see description)**

Ages 3+

$65.00 1-Day/1 Park

$90.00 1-Day/2 Park

Universal Orlando/ Islands of Adventure (see description)**

Ages 3+

Afternoon Disney Ticket (see description)**

**(Visit both Universal Theme Parks on the same day: Universal , Islands of Adventure)

(See above)

$115.00 2-Day/2 Park **(Visit both Universal Theme Parks on the same day: Universal , Islands of Adventure)

PAYMENT METHOD (Make checks payable to Church of God International Youth Department) Cashier’s Check/Money Order

Check

Credit Cards Accepted Include: Visa, MasterCard, Discover, American Express (Circle one) (5% charge for credit card payments) Card Number:_____________________________________________________ Expiration Date: __________________________________________________ Name on Card: ___________________________________________________ Signature: ________________________________________________________

Postage & Handling

GRAND TOTAL

$15.00

$

Order will not be processed until payment is received.