Girl Scouts Nights Order Form
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1GIRL SCOUTS NIGHTS
Girl Scouts Nights are back again…
The Portland Trail Blazers have put together two game dates and once-in-a-
lifetime experiences for your enjoyment. Tickets are limited, please order soon!
Please select from the games below:
st
st
Trail Blazers vs. Jazz, Sun., Feb. 21
7:30 PM
Trail Blazers vs. Timberwolves, Sat., November 21
@ 7PM
Girl Scouts Winter Workout!
Girl Scouts Fall Event at the Rose Garden!
Basketball Clinic – Participate in a 2 hour basketball clinic on the
Basketball Clinic – Participate in a 2 hour basketball clinic on the
Trail Blazers court prior to the game from 2:30-4:30.
Trail Blazers court prior to the game from 2-4.
Est.
Est.
Your
Gate
Your
Gate
Price Rate
Price Rate
Yellow 200 Level
# of Tickets ______ @ $49 ($55)*
= $________
Yellow 200 Level
# of Tickets ______ @ $49 ($55)* = $_________
Purple 300 Level
# of Tickets ______ @ $22 ($25)*
= $________
Purple 300 Level
# of Tickets ______ @ $22 ($25)* = $_________
Red 300 Level
# of Tickets ______ @ $15 ($19)*
= $________
Red 300 Level
# of Tickets ______ @ $15 ($19)* = $_________
+ Patch fee per scout ticket
_____ @ $2
= $________
+ Patch fee per scout ticket
______ @ $2
= $_________
Game 1 Total = $_________
Game 2 Total = $_________
Add a one time $5 processing fee
View for seating map
GRAND TOTAL
$_______________
Troop #:
Name:
Mailing Address:
City:
State:
Zip:
Phone:
E-Mail:
Select Method of Payment: Check Enclosed
Visa/MC/Disc/AMEX
Cash
Name on Card:
Card #:
Exp. Date:
Signature:
Date:
Make checks payable to:
Portland Trail Blazers, Attn: Lisa Swan
One Center Court, Suite 200, Portland, OR 97227
Fax completed form to 503.736.2192
Order Online after Sept. 24:
Password : GirlScouts
Per ticket fees apply online
Tickets held for this group will be released 4 weeks prior to game date
Call for availability after release date
For more information about Girl Scouts Nights, please contact:
Lisa Swan
503.963.3966
Orders received more than 30 days prior to the game date will be mailed to the above address.
Orders are filled on a first-come first-served bases and are subject to availability. No refunds or exchanges.
* Estimated gate rate subject to change based on market conditions.
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