SEASON TICKET

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THOROBRED FOOTBALL

SEASON TICKET

SEASON TICKET PACKAGE - $75 Reserved / $65 General ALL HOME GAMES AND HOMECOMING GAME TICKET

Kentucky State University 2016 Home Schedule

Sept. 17 - 1:30 P.M. - Virginia State Oct. 15 - 2:00 P.M. - HOMECOMING Miles College Oct. 29 - 1:30 P.M. - Lane College Nov. 5 - 1:30 P.M. - Benedict College

Name _____________________________________________________ Alumni Y / N Year of Graduation___________ Address ____________________________________________ City/State/Zip____________________________________ Day Phone______________________________________ Mobile Phone_______________________________________ Email ______________________________________________________________________________________________ Total number of Season Ticket Packages requested? Reserved Seating _______ x $75 / General Admission _______ x $65 Total Amount Due $_________________________

PAYMENT OPTIONS r Check payable to KSU

r Cash

r Charge my credit/debit card $ _________ r Visa r MC r Amex r Discover

Card Number___________________________________________________________ Expiration Date _______________ Authorization Code____________ Signature _____________________________________________________________ Equal opportunity shall be provided to all persons throughout the University. Kentucky State University does not discriminate in the administration of or access to any educational services or in regard to any employment decisions on the basis of race, color, religion, gender, sexual orientation, age (except for minors), national origin, ethnicity, citizenship status (except as required by law), disability, military service status, marital status or any other status protected by law, absent a bona fide occupational qualification. Non-discrimination requires compliance with federal, state and local employment laws and regulations, including, but not limited to, the following: Equal Pay Act of 1963, Title VII of the Civil Rights Act of 1964, as amended, the Age Discrimination in Employment Act, and the Americans with Disabilities Act. 6/14/16