season ticket & exchange coupon order form - 6
2017-2018 SEASON TICKET & EXCHANGE COUPON ORDER FORM Ticket Type
Regular Price (Includes GST)
Adult
$475.00+23.75=498.75
Senior (65+)
$425.00+$21.25=$446.25
Youth (13-17)
$325+$16.25=$341.25
Child (6-12)
$200+$10=$210
LAST Name:________________________ FIRST Name:________________________________ Company Name (If applicable): __________________________________________________ Address:_____________________________________________________________________ City:____________________________ Province:_________ Postal Code:_________________ Phone: __________________________ Email:________________________________________ SEASON TICKETS: **Example: Adult √
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Section ___8____Row ____S_____ Seat/s ___10_____
EXCHANGE COUPON PKG (36 TICKETS): ($549 + $27.45 GST=$576.45): Qty: PAYMENT (due upon order): Cheque □
Debit □
Cash □
Visa or M/C #_____________________________________________ Expiry #____________ Name on card:_________________________________________ (If different then above)
Brandon Wheat Kings #2-1175 18th Street, Brandon, MB, R7A 7C5 Fax: 204-726-3540 (call to confirm fax order) Email: [email protected]
Regular Price (Includes GST)
Adult
$475.00+23.75=498.75
Senior (65+)
$425.00+$21.25=$446.25
Youth (13-17)
$325+$16.25=$341.25
Child (6-12)
$200+$10=$210
LAST Name:________________________ FIRST Name:________________________________ Company Name (If applicable): __________________________________________________ Address:_____________________________________________________________________ City:____________________________ Province:_________ Postal Code:_________________ Phone: __________________________ Email:________________________________________ SEASON TICKETS: **Example: Adult √
Senior □
Youth □
Child □
Adult
Senior
Youth
Child
Section _______Row _________ Seat/s _________
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Section _______Row _________ Seat/s _________
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Section _______Row _________ Seat/s _________
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Section _______Row _________ Seat/s _________
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Section _______Row _________ Seat/s _________
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Section _______Row _________ Seat/s _________
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Section ___8____Row ____S_____ Seat/s ___10_____
EXCHANGE COUPON PKG (36 TICKETS): ($549 + $27.45 GST=$576.45): Qty: PAYMENT (due upon order): Cheque □
Debit □
Cash □
Visa or M/C #_____________________________________________ Expiry #____________ Name on card:_________________________________________ (If different then above)
Brandon Wheat Kings #2-1175 18th Street, Brandon, MB, R7A 7C5 Fax: 204-726-3540 (call to confirm fax order) Email: [email protected]
