School/Team Name City State
Name (NOTE: Only the person listed here will be able to sign for
and
pick up ALL tickets in Orlando!)
Address
Home Phone Work Phone Cell Phone
Email Address
WALT DISNEY WORLD
®
TICKETS AVAILABLE FOR PURCHASE
m
THREE DAY PARK HOPPER
®
-
$225.00 each
Number Needed _________
(NHSCC Transportation is not included) (*Includes three days admission to ESPN Wide World of Sports® Complex.)
m
FOUR DAY PARK HOPPER
®
-
$255.00 each
Number Needed _________
(NHSCC Transportation is not included) (*Includes three days admission to ESPN Wide World of Sports® Complex.)
m
FIVE DAY PARK HOPPER
®
-
$285.00 each
Number Needed _________
(NHSCC Transportation is not included) (*Includes three days admission to ESPN Wide World of Sports® Complex.)
m
MEAL VOUCHERS -
$16.00 each
Number Needed _________
(Lunch or Dinner ONLY! One entree, dessert and beverage per voucher
designated theme park dining locations.)
m
SUNDAY EVENING CELEBRATION PARTY AT
DISNEY’S HOLLYWOOD STUDIOS
®
-
$35.00 each
(NHSCC Transportation is not included)
Number Needed _________
Refunds will not be given for Celebration wristbands.
Tickets can be picked up in Orlando at the hotel your squad is housed in at the designated
NHSCC registration area on Thursday, February 5th, and Friday, February 6th. Saturday
morning February 7th, tickets can be picked up at the national championship office at your
hotel. If your squad is NOT staying at one of the NHSCC travel package hotels, please pick
up your tickets at the Disney’s All-Star Resort NHSCC Registration Area (Celebrity Hall).
I will pick up my extra ticket order at:
m
All-Star Resort
m
Pop Century Resort
m
Carribbean Beach Resort
m
Coronado Springs Resort
METHOD OF PAYMENT:
Enclosed is check number __________ for $ ____________
I authorize the National High School Cheerleading 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 ( ) ____________________
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.
EXTRA TICKET ORDER FORM
2015 NATIONAL HIGH SCHOOL CHEERLEADING CHAMPIONSHIP
NOTE:
Transportation is
NOT
included with purchase of these tickets.
• • • Y
OU MAY MAKE COPIES OF THIS FORM
• • •
TICKETS ARE VALID FROM JANUARY 27 – FEBRUARY 14, 2015
T
HIS FORM IS FOR
F
AMILY AND
F
RIENDS
NOT PURCHASING THE
NHSCC 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
National High School
Cheerleading Championship
Office by January 23, 2015.
Credit Card orders may be faxed to:
1-800-969-8295 or
1-901-387-4357
If confirmation is not received within
2weeks, verfication should be directed to
.
Checks and forms are to be
mailed to:
NHSCC - T
ICKET
O
RDERS
P.O. B
OX
752790
M
EMPHIS
, TN 38175-2790
No extra ticket orders will be
accepted after January 23, 2015.
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!
17
( ) ( ) ( )
You may also
order these
tickets online at
uca.varsity.com.
Please tear out along the perforations. You may make copies of this form.
