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Lori Erickson-President Email Icon Email
  Chris McDougal-Vice President

Organization Forms
2016-17 Athletic Booster Club Season Pass Order Form (Athletic Booster Club) 7/11/2016

Please complete this form and return it with cash or check made payable to:

Monarch Athletic Booster Club

Northside High School

365 Commons Drive S

Jacksonville NC 29546

FOR CREDIT/DEBIT CARD PAYMENTS YOU MAY EMAIL THE FORM TO MONARCHATHLETICBOOSTERCLUB@GMAIL.COM

 

If you have any questions, please feel free to contact:

Nikki Myers @ 910-382-2888 nikkimyersnc@gmail.com

 

The below information is required so we can complete your Annual Pass purchase or contact you if necessary (please print neatly):

 

_____________________________   _________________________________

          Name                                     Email Address

_________________________________ ________________ _____ _______

           Mailing Address                                  City              State     Zip

_________________________ Text message allowed at this number? (Y/N)______

           Phone Number

Select Level to be purchased:

Set of 4 Annual passes (savings of $75)            $225   _____________

Pair of 2 Annual Passes (savings of $25)        $125   _____________

Individual Annual Pass                        $75    _____________

TOTAL TO BE CHARGED:                                     $______________

For Credit card purchase:

Name on card:__________________________ Amount to be charged_____________

Credit Card #_____________________________

Expiration Date (MM/YY):_________CVV_________Billing Zip code___________                                                                                                        

Signature____________________________________ Date_____________________

I authorize MABC to charge the credit card indicated in this authorization form according to the terms outlined above. This payment authorization is for the goods/services described above, for the amount indicated above only, and is valid for one time use only. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form.


Athletic Season Pass Choices/Prices 2014-15 (Athletic Booster Club) 8/10/2014
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Athletic Season Pass Order Form 2014-15 (Athletic Booster Club) 8/10/2014
Download

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