"Friday August 8, 2008"
Includes day on site and Tattoo |
|
Office Only |
| ____Adult @ $18 each |
= ________ |
________ |
| ____Senior @ $15 each |
= ________ |
________ |
| ____Student @ $15 each |
= ________ |
________ |
| "Saturday August 9, 2008" |
|
|
| ____Adult @ $22 each |
= ________ |
________ |
| ____Senior @ $17 each |
= ________ |
________ |
| ____Student @ $17 each |
= ________ |
________ |
| "Sunday August 10, 2008" |
|
|
| ____Adult @ $15 each |
= ________ |
________ |
| ____Senior @ $13 each |
= ________ |
________ |
| ____Student @ $13 each |
= ________ |
________ |
| Weekend Pass |
|
|
| ____Adult @ $40 each |
= ________ |
________ |
| ____Senior @ $32 each |
= ________ |
________ |
| ____Student @ $32 each |
= ________ |
________ |
| Sunday Family Pass |
|
|
| ____$40 each |
= ________ |
________ |
| ____Extra Student @ $11 each |
= ________ |
________ |
| Subtotal |
= ________ |
________ |
|
|
|
|
|
Postage and Handling
|
+ $3.50 |
|
TOTAL
|
__________ |
________ |
| |
|
|
| EXACT Name on Card: |
_________________________________________ |
| Address: |
_________________________________________ |
| |
_________________________________________ |
| City: |
_________________________________________ |
| Province/State: |
____________________ |
| Postal/Zip Code: |
____________________ |
| Telephone Number: |
____________________ |
| EMail Address: |
_________________________________________ |
| Type of Card: |
Visa | Master Card (circle one) |
| Credit Card Number: |
_________________________________________ |
| Expiry Date: |
____________________ |