Complimentary Tickets Request for 2009-10 Pacers Season

Fields marked (*) are required

Name of Organization:*

Contact Name:*

E-Mail:*

Phone Number*:

Address*:

City*:

State*:

Zip Code*:

EIN/Tax ID Number(Required)*:

INSTRUCTIONS
Please indicate your top five (1-5) game choices only for the entire season. Please keep your top five game dates available on your organization’s schedule, as you will NOT be contacted prior to the mailing of game tickets. Tickets will be mailed 2-3 weeks prior to your scheduled game. Again, note that we receive more requests than we have available tickets. As a result even though you may turn in this form, it does not guarantee that your organization will receive tickets!
First Choice:
Number of Tickets:

Second Choice:
Number of Tickets:

Third Choice:
Number of Tickets:

Fourth Choice:
Number of Tickets:

Fifth Choice:
Number of Tickets:

Total number of wheelchair seats (not including attendants) needed for your group:
*Subject to availability. This will be the maximum number of tickets mailed to your organization if your organization is chosen to receive tickets.

Total number of limited mobility or special needs seating (not including attendants) needed for your group:
*Subject to availability. This will be the maximum number of tickets mailed to your organization if your organization is chosen to receive tickets.

Are you able to accept tickets on short notice (24 hours or less)? Yes