SCOUT GROUP ORDER FORM
SCOUT GROUP ORDER FORM
GROUP NAME AND CONTACT MAILING ADDRESS CITY, STATE, ZIP DAYTIME PHONE NUMBER EMAIL ADDRESS
Deadline for Scout Orders - Tuesday, April 15, 2014 Deadline for mailing tickets - Wednesday, April 2, 2014 Prices below reflect $2.50 facility fee per ticket. Group discounts not available on Front Row or VIP seating. Group discount available for below showtimes only. Please place an X by desired show date/time. Thursday, April 17 at 10:30 am Thursday, April 17 at 7:30 pm Friday, April 18 at 3:00 pm Friday, April 18 at 7:30 pm Saturday, April 19 at 11:30 am Saturday, April 19 at 3:30 pm Saturday, April 19 at 7:30 pm Sunday, April 20 at 3:00 pm
______ ______ ______ ______ ______ ______ ______ ______ # OF TICKETS
# OF SCOUT PATCHES ______
X
$15.50
= $
HANDLING FEE TOTAL TICKETS
TOTAL
Please specify if wheelchair accessible or limited mobility seating is needed. For questions, please call 757-838-5650 ext. 68943 or email [email protected] Payment by Cash: Bring order form to the Hampton Coliseum Box Office, Monday - Friday 10:00am - 5:00pm. Payment by Money Order or Cashier's Check: Mail payment along with order form to : Hampton Coliseum Box Office 1000 Coliseum Drive Hampton, VA 23666 Payment by Credit Card (MasterCard or Visa): Fax Order to 757-838-1814 Name on Card Billing Address Credit Card Number Expiration Date Phone Number of Card Holder Signature of Card Holder
$5.00 $
GROUP NAME AND CONTACT MAILING ADDRESS CITY, STATE, ZIP DAYTIME PHONE NUMBER EMAIL ADDRESS
Deadline for Scout Orders - Tuesday, April 15, 2014 Deadline for mailing tickets - Wednesday, April 2, 2014 Prices below reflect $2.50 facility fee per ticket. Group discounts not available on Front Row or VIP seating. Group discount available for below showtimes only. Please place an X by desired show date/time. Thursday, April 17 at 10:30 am Thursday, April 17 at 7:30 pm Friday, April 18 at 3:00 pm Friday, April 18 at 7:30 pm Saturday, April 19 at 11:30 am Saturday, April 19 at 3:30 pm Saturday, April 19 at 7:30 pm Sunday, April 20 at 3:00 pm
______ ______ ______ ______ ______ ______ ______ ______ # OF TICKETS
# OF SCOUT PATCHES ______
X
$15.50
= $
HANDLING FEE TOTAL TICKETS
TOTAL
Please specify if wheelchair accessible or limited mobility seating is needed. For questions, please call 757-838-5650 ext. 68943 or email [email protected] Payment by Cash: Bring order form to the Hampton Coliseum Box Office, Monday - Friday 10:00am - 5:00pm. Payment by Money Order or Cashier's Check: Mail payment along with order form to : Hampton Coliseum Box Office 1000 Coliseum Drive Hampton, VA 23666 Payment by Credit Card (MasterCard or Visa): Fax Order to 757-838-1814 Name on Card Billing Address Credit Card Number Expiration Date Phone Number of Card Holder Signature of Card Holder
$5.00 $
