Gym Name
Team Name
Pick-Up Name
Address
City, State, Zip Country
( ) _____________ ( ) _______________ ( ) __________________
Home Phone Work Phone Cell Phone
Email Address
WALT DISNEY WORLD
®
TICKETS AVAILABLE FOR PURCHASE
m
THREE DAY PARK HOPPER
®
-
$215.00 each
Number Needed _________
(IASC Transportation is not included) Includes Three Days admission to ESPN Wide World of Sports
®
.
All Walt Disney World
®
Theme Park Tickets are valid March 8 - 22, 2014.
m
FOUR DAY PARK HOPPER
®
-
$245.00 each
Number Needed _________
(IASC Transportation is not included) Includes Three Days admission to ESPN Wide World of Sports
®
.
All Walt Disney World
®
Theme Park Tickets are valid March 8 - 22, 2014.
m
FIVE DAY PARK HOPPER
®
-
$275.00 each
Number Needed _________
(IASC Transportation is not included) Includes Three Days admission to ESPN Wide World of Sports
®
.
All Walt Disney World
®
Theme Park Tickets are valid March 8 - 22, 2014.
m
COUNTER SERVICE MEAL VOUCHERS -
$17.00 each
Number Needed _________
(One entreé, dessert and beverage per voucher - at designated Theme Park dining locations. Lunch or Dinner Only)
m
WALT DISNEY WORLD
®
WATER PARK -
$35.00 each
Number Needed _________
(One Day Admission into any Walt Disney World Water Park)
m
SUNDAY EVENING CELEBRATION PARTY AT
DISNEY’S
HOLLYWOOD STUDIOS
®
-
$35.00 each
**
Number Needed _________
(IASC Transportation is not included)
**Disney transportation will not be available. Refunds will not be given for Celebration wristbands.
Tickets can be picked up in Orlando at the Disney All Star Resort in the IASC registration area on Wednesday,
March 12th through Friday, March 14th, or on Saturday morning March 15th, in the designated championship office.
METHOD OF PAYMENT
Enclosed is check number _______________ for $ ____________________
I authorize the UCA International All Star Championship to charge my
m
VISA
m
MC
m
AMEX
m
DISC
in the amount of $_________ for tickets.
Account Number
nnnn nnnn nnnn nnnn
Expiration Date_________________
Name on Credit Card __________________________________________________________________
Card Holder Billing Address* ____________________________________________________________
Card Holder City, State, Zip ____________________________________________________________
Card Holder Daytime Phone (______) ________________ Cell Phone (______) ________________
Card Holder Signature__________________________________________________________________
Card Holder Email Address
______________________________________________
* In order for credit cards to be processed, we MUST have the billing address for the credit
card being charged. This address MUST include the zip code for the billing address.
TICKET ORDER FORM
2014 UCA INTERNATIONAL ALL STAR CHAMPIONSHIP
NOTE:
Transportation is
NOT
included with purchase of these tickets.
• • • Y
OU MAY MAKE COPIES OF THIS FORM
• • •
T
HIS FORM IS FOR
F
AMILY AND
F
RIENDS
NOT PURCHASING THE
IASC TRAVEL PACKAGE
.
Squad members not attending on
the travel package DO NOT need
to complete this form.
Every family needs to fill out a
form. Please do NOT combine
families on one order form.
This form and full payment
are due in the
UCA International All Star
Championship Office by
February 12, 2014.
Credit Card orders may be faxed to:
1-800-969-8295 or
1-901-387-4357
If confirmation is not received within
2 weeks, verfication should be directed to
Checks and forms are to be
mailed to:
IASC - T
ICKET
O
RDERS
P.O. B
OX
752790
M
EMPHIS
, TN 38175-2790
No extra ticket orders will be
accepted after February 12, 2014.
After the deadline, tickets may be
purchased in Orlando
at Celebrity Hall. (limited available)
ORDERS THAT ARE NOT PAID
IN FULL WILL NOT BE
PROCESSED!
TICKETS ARE VALID
MARCH 8-22, 2014
15
Please tear out along the perforations. You may make copies of this form.
TICKET ORDER FORM
You may also order
these tickets online at
uca.varsity.com
