Name ___________________________________________________________________ Company ________________________________________________________________ Address _________________________________________________________________ City, State, Zip ____________________________________________________________ Home Phone _____________________________________________________________ Work Phone ______________________________________________________________ E-Mail ___________________________________________________________________ Qty._______ Gold Table(s) - $1,500 per table ($800 is tax deductible) _______ Maroon Table(s) - $1,000 per table ($400 is tax deductible) _______ Gold Seat(s) - $200 per person ($100 is tax deductible) _______ Maroon Seat(s) - $150 per person ($50 is tax deductible) $_______ Total Amount Due
Paid in Full (Check Enclosed) Invoice Me (Table Purchases Only)
Checks made payable to Elon Athletics Invoices must be paid in full by March 1, 2016 North Carolina sales tax included in table and seat prices
Credit Card # _____________________________________________________________ Visa