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401 CHANNELSIDE DRIVE TAMPA, FL 33602 • WWW.TAMPABAYTIMESFORUM.COM
COLDPLAY:MYLO XYLOTO TOUR
JUNE 28, 2012
Fill out order form completely. TICKET ORDERS ARE SUBJECT TO AVAILABILITY. Incomplete order forms will not be processed. You may order up to EIGHT tickets for this event. PLEASE FAX COMPLETED ORDERS TO 813.301.1484 OR SCAN AND EMAIL TO [email protected]
# OF SEATS @ $ 96.75* x =
*Ticket includes your seat, plus gourmet food, beer & wine.
For Executive Suites Information, please call the Suite Sales Department at 813.301.CLUB (2582).
# OF SOUTH REGIONAL PARKING GARAGE PASSES @ $ 10.00 x =
HANDLING FEE: $ 3.00
TOTAL:
PLEASE FILL OUT THE CREDIT CARD INFORMATION BELOW
CARD HOLDER SIGNATURE
VISA MC AMX CARD NUMBER EXP DATE
CS0628
ACCOUNT NAME ACCOUNT NUMBER
CONTACT EMAIL CONTACT PHONE #
