KOOTENAY ICE HOCKEY CLUB SEASON SEAT HOLDER FORM ...

2018 – 2019 KOOTENAY ICE HOCKEY CLUB SEASON SEAT HOLDER FORM ACCOUNT NAME: ______________________________________ CONTACT: _________________________ ADDRESS: _______________________________________ CITY: __________________ PROV: _________ POSTAL CODE: _____________________ PHONE: _______________________ FAX: __________________ EMAIL: ___________________________________________________________________________________ ➢ ➢ ➢ ➢

YOUTH CATEGORY IS UNDER 18 AT TIME OF PURCHASE / STUDENT IS WITH VALID FULL TIME STUDENT ID SENIORS MUST BE 65 PRIOR TO SEPTEMBER 21, 2018 IF SUBMITTING YOUR RENEWAL BY MAIL OR FAX, PLEASE ENCLOSE PROOF OF ID. SEASON SEATS WILL BE APPLICABLE FOR 34 HOME GAMES FOR THE 2018-2019 SEASON

I WILL BE PURCHASING MY NEW 2018 - 2019 SEASON TICKET(S) FOR THE FOLLOWING SEAT(S): SECTION ______ ROW ______ SEAT ______ CATEGORY ______ $ _______ ID (A/S/C) __________ SECTION ______ ROW ______ SEAT ______ CATEGORY ______ $ _______ ID (A/S/C) __________ SECTION ______ ROW ______ SEAT ______ CATEGORY ______ $ _______ ID (A/S/C) __________ SECTION ______ ROW ______ SEAT ______ CATEGORY ______ $ _______ ID (A/S/C) __________ SECTION ______ ROW ______ SEAT ______ CATEGORY ______ $ _______ ID (A/S/C) __________ SECTION ______ ROW ______ SEAT ______ CATEGORY ______ $ _______ ID (A/S/C) __________ (A – Adult, S – Senior, STU – Student, C – Child, F - Family Package) TOTAL

$ ___________

If you were referred by a season seat holder, please put their name here _____________________________. I would like my tickets to be donated to __________________________ community group, school, etc. I would like to donate my tickets to the ICE to use for community programming (Check box for Yes)

SEAT CHANGE: Please indicate Section, Row(s) and Seat(s) of your choice and we will do our best to accommodate your request, based on Season Ticket Holder Priority and seat availability. st

1 Choice: 2

nd

SECTION _______ ROW _______ SEAT(S) _______

Choice:

SECTION _______ ROW _______ SEAT(S) _______

3 Choice:

SECTION _______ ROW _______ SEAT(S) _______

rd

PAYMENT (select one): CASH:_______ CHEQUE: ________ DEBIT CARD:_________ VISA:_________ MASTERCARD:__________ CREDIT CARD #: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiry: ______

TOTAL OWING:

_______________

Deposit:

_______________

Balance Due:

_______________

3-Digit Code: __ __ __

OFFICE USE ONLY DATE PAID:___________________ PATRON #:_________________ __ _____________________________

#2 – 1777 2nd Street North, Western Financial Place, Cranbrook, BC V1C 7G9 Phone: (250) 417-0322 Fax: (250) 417-0323 Email: [email protected]