2010 Middle Tennessee Football Order Form CUSTOMER INFORMATION Name:
TODAY'S DATE
Street: City/State/Zip: Daytime Phone: Email:
SEASON TICKET PLAN
QUANTITY
EACH
Sideline Reserved
$ 100.00
Family Fun Zone (Coupon Book)
$ 100.00
Chairbacks (BRAA membership required)
$ 135.00
Club Level (BRAA membership required)
$ 100.00
General Admission
$ 75.00
Endzone Group (20+)
$ 50.00
Sideline Reserved Group (20+)
$ 85.00
TOTAL
Please check fee amount
Agreed: _________________________________________
CHECK
CASH
Card Number: ___________________________________ Expiration Date: ______ / _________ CIN Code: _____________
Comments:
Processing Fee FedEx (Next Day Air)
METHOD OF PAYMENT VISA / MC/ AMEX
X
TOTAL AMOUNT DUE
$5.00 $15.00