Ottawa Senators vs. LA Kings Saturday, December 14, 2013, 2:00PM

Ottawa Senators vs. LA Kings
Saturday, December 14, 2013, 2:00PM
OPTION 1
Purchase two (2) x 300 Level tickets for yourself, and one (1) additional ticket is donated to the Boys &
$100
Girls Club of Ottawa for a child to attend the game.
OPTION 2
Purchase two (2) x 100 Level Ends/Corners tickets for yourself, and one (1) additional ticket is donated
$200
to the Boys & Girls Club of Ottawa for a child to attend the game.
Can't come to the game but still want to get involved?
OPTION 3
Make a donation of $200 and give six (6) Boys & Girls Club of Ottawa children the opportunity to
watch an Ottawa Senators game.
(A charitable tax receipt will be provided for the donation)
No. of Tickets/Combiens des billets _____
$200
Total charge to card/Grand totale sur la carte $_______
Please write your email if you would like your tickets to be sent to you ‘Print at Home’ to your email/ S'il vous plaît écrivez votre
e-mail ici si vous souhaitez "Print at Home" service de billetterie
_____________________________________________________________________________________________
Name/ Nom ______________________________________
Phone No./Num. de téléphone ____________________________
Email ___________________________________________________
City/Ville ______________________________________
Address/Addresse ____________________________________________________ Postal Code/ Code Postale ________________
Card/Carte ___________________________________ Exp. ______ Name on Card/Nom sur carte __________________________
Company/Organization ___________________________________________________
Please fax the completed form to Alison Maier at 613-599-0359/SVP transmettre le formulaire par fascimilé à Alison Maier at
613-599-0359
Credit card information, once processed, will be removed and shredded/Une fois traitées, votre information confidentiel, sera
supprimer soigneusement