women's basketball hosts girl scout night!

WOMEN’S BASKETBALL HOSTS GIRL SCOUT NIGHT! Illinois vs. Austin Peay | Saturday, December 16th | 7pm | State Farm Center The Fighting Illini Women’s Basketball Team would like to invite you to attend their game against Austin Peay on December 16th as part of Girl Scout Night. To reserve discounted tickets for you, your friends and family, simply fill out the information below and return it to the Illinois Ticket Office in advance by Wednesday, December 13th. Forms will also be accepted the day of the game. Please note: Tickets will be located behind the team benches while supplies last. ~Girl Scouts will receive patches and will be recognized during the game~ Troop Number _____________________________________________ Parent Name _______________________________________________ Home Address _____________________________________________ City/State/Zip ______________________________________________

Phone ____________________________________________________ Email _____________________________________________________

Ticket Order

Quantity

Girl Scout Tickets

______

Price

Subtotal

x $2/ticket =

Total

$_____ + $2 handling = $_____

*Please specify how many girl scouts and troop leaders will be in your group to ensure you receive your patches.

Girls Scouts: _____ Troop Leaders: _____

PAYMENT OPTIONS Checks made payable to: University of Illinois Credit Card: Visa MasterCard Discover

AmEx

____ ____ ____ ____ Exp. Date _ _ /_ _ | CVV _ _ _ _ Print name as it appears on the card: _________________________________ Signature: _____________________________________________________

Mail Completed Form to: Illinois Ticket Office State Farm Center, Room 1000 1800 South First Street Champaign, IL 61820 Fax Completed Form to: 217-244-4170

For more information contact the Illinois Ticket Office: 866-ILLINI-1 | [email protected] | FightingIllini.com