
SEND IN FORM BELOW
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2004
U.S OLYMPIC TEAM TRIALS FOR TRACK AND FIELD
TICKET ORDER FORM
| Champion's
Club |
_______X
$600 |
=
$__________ |
| Gold
Medal |
_______X
$240 |
=
$__________ |
| Silver
Medal |
_______X
$160 |
=
$__________ |
| Bronze
Medal |
_______X
$140 |
=
$__________ |
| Family
Package |
_______X
$360 |
=
$__________ |
| |
Postage/Handling |
=
$ 5.00 |
| |
Total |
=
$__________ |
Section
Preference
1st
_______ 2nd _______ 3rd _______
Please
see stadium seating chart for section location. Click
HERE
Please
indicate payment type (circle one):
Please make checks payable to 2004 U.S. Olympic Team
Trials for Track and Field
Name:
________________________________________________________
Address:______________________________________________________
City:_________________________
State:_______ Zip: ______________
Day
Phone: _______________________________
E-mail:
___________________________________
USATF
Membership number:______________________
Card
#: __________________________________ Exp.:_______________
Mail
completed application to:
2004
U.S. Olympic Team Trials for Track and Field - Tickets
P.O. Box 19278
Sacramento, CA 95819