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PLEASE CIRCLE YOUR GAME OF CHOICE:
TUES. OCT. 28 @ 7PM vs JETS
TUES. NOV. 18 @ 7PM vs LIGHTNING
TUES. DEC. 2 @ 7PM vs SENATORS
TUES. FEB. 10 @ 7PM vs OILERS
THUR. FEB. 19 @ 7PM vs PREDATORS
Limit two (2) tickets per student. All forms must be submitted no later than one (1) week prior to the selected game. Families with more than one child participating in the program must select different games. Do not bring this to a New York Islanders hockey game. You must mail or fax this form to receive your tickets. Tickets will be mailed to all students. Tickets not redeemable as part of a group event. *Game exclusions apply. While supplies last. This program is open to elementary school students grades one-six.
ADDITIONAL TICKETS:Number of Additional Tickets Purchased: _________________(Available at $25 each)
METHOD OF PAYMENT:Make check or money order payable to:NEW YORK ISLANDERS
AMEX MC VISA Check
Card #__________________________________________
Exp. Date________________________________________
Name on Card ____________________________________
Signature _______________________________________
MAIL TO:NEW YORK ISLANDERSATTN: BLADES FOR GRADES/ANN RINA1255 Hempstead Turnpike, Uniondale, NY 11553FAX: 516.501.6850
Student Name:__________________________________________________
Parent’s Name: _________________________________________________
Address:_______________________________________________________
City: __________________________________________________________
State: ________________________ Zip: ____________________________
Phone: _____________________ Email: ____________________________
Your Grade: ____________ School Name: ____________________________
Teacher’s Name: ________________________________________________
Please fill out the form below and submit (MAIL OR FAX) to receive your two (2) FREEtickets to the game of your choice from the list provided. All students: be sure to submit a copy of your report card or test with this form.
GOOD GRADES HAVE THEIR REWARDS
CONGRATULATIONS!
1.800.882.ISLES EXT. 4 NEWYORKISLANDERS.COM/@SCHOOL
91_14_15_Blades_For_Grades_Form_8.5X11.indd 1 9/2/14 11:37 AM
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