INDIVIDUAL TICKET ORDER FORM
ALL ADVANCE TICKETS
MUST BE PURCHASED AND PAID IN FULL BEFORE MARCH 7, 2016.
Tickets after this date may be purchased at the gate for $10. For more information contact 504-392-9622 or jodit@ymcaneworleans.org
Name:______________________________________________ Email: ______________________________________________ Phone:_____________________________________________ ADMISSION TICKETS
_____________ tickets x $8 =$______________________
DONATION
I would like to support youth and family programs in my community and would like to make a donation of $ _______________
PAYMENT
Check Enclosed: check#___________ Please call me to use a Credit Card
Team registrations, sponsorships and tickets can be purchased at the Belle Chasse YMCA or the Plaquemines CARE Centers. Or you can mail this form and payment to: BELLE CHASSE YMCA 8101 Highway 23 Belle Chasse, LA 70037 MAKE CHECKS PAYABLE TO: YMCA– COOK OFF (EARLY REGISTRATION MUST BE RECEIVED BY 2/20/16; ALL OTHER PAYMENTS MUST BE RECEIVED BY 3/7/16)