Name: ___________________________________________________________________________________________________ Address (No P.O. Boxes): ____________________________________ City: _____________________ St: _____ Zip: ______________ E-mail: ____________________________________________________ Phone: ________________________________________ Check Credit Card Security Code:____________________________ Credit Card Number: ________________________________________________________________ Exp: ________ / ____________ Signature: ________________________________________________________________________________________________ PAYMENT INFORMATION Public Price Group Price Quantity Total VIP Package* $299 $275 x ____________ = _____________ Platinum Seats** $150 $129 x ____________ = _____________ Gold Medal Seats $89 $79 x ____________ = _____________ Silver Medal Seats $75 $65 x ____________ = _____________ Bronze Medal Seats $55 $49 x ____________ = _____________ TICKET OPTIONS * VIP Package includes pre-show Chalk Talk hosted by Nastia Liukin and a post-show Autograph session, both with select members of the 2016 Olympic team. ** Platinum tickets include a pre- show Chalk Talk hosted by Nastia Liukin with select members of the 2016 Olympic team. GROUP TICKET ORDER FORM Exclusive Olympian experiences! Ticket Offer Deadline: 2 Weeks Before Show Handling Fee: Grand Total = REPLY TO Enter Group Name Here: KelloggsTour.com BROOKLYN, NY • BARCLAYS CENTER • SUNDAY, NOVEMBER 6, 2016 • 5:00 PM $10 (Payable to Barclays Center)
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Name: ___________________________________________________________________________________________________
Address (No P.O. Boxes): ____________________________________ City: _____________________ St: _____ Zip: ______________
E-mail: ____________________________________________________ Phone: ________________________________________
Check Credit Card Security Code:____________________________
Credit Card Number: ________________________________________________________________ Exp: ________ / ____________
Signature: ________________________________________________________________________________________________
PAYMENT INFORMATION
Public Price Group Price Quantity Total VIP Package* $299 $275 x ____________ = _____________ Platinum Seats** $150 $129 x ____________ = _____________ Gold Medal Seats $89 $79 x ____________ = _____________ Silver Medal Seats $75 $65 x ____________ = _____________ Bronze Medal Seats $55 $49 x ____________ = _____________
TICKET OPTIONS
* VIP Package includes pre-show Chalk Talk hosted by Nastia Liukin and a post-show Autograph session, both with select members of the 2016 Olympic team. ** Platinum tickets include a pre-show Chalk Talk hosted by Nastia Liukin with select members of the 2016 Olympic team.
GROUP TICKET ORDER FORM
Exclusive Olympian experiences!
Ticket Offer Deadline:2 Weeks Before Show
Handling Fee:
Grand Total =
REPLY TO
Enter Group Name Here:KelloggsTour.com
BROOKLYN, NY • BARCLAYS CENTER • SUNDAY, NOVEMBER 6, 2016 • 5:00 PM
$10
(Payable to Barclays Center)
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