Nonprofit Ticket Donation Program - Ticket Request Form

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The Connecticut Open is one of the
State’s premier sporting events
featuring a week of live world class
women’s tennis wrapped in a festival of
activities, booths, music and food.
For more information visit:
Nonprofit Ticket Donation Program --
Ticket Request Form
Responses due Friday, July 31, 2015 by 12:00 p.m.
_________________________________________________________________________
My organization is requesting tickets to attend the Connecticut Open.
Name of Organization:
_______________________________________
Type of Organization:
_______________________________________
Who will be using the tickets? (e.g., youth, seniors, campers, social club participants, day program
participants, self-advocates, staff?)
Organization Address (for delivery of tickets):
Street: __________________________________ City: ___________________, Zip Code: ___________
Attention: ____________________________ Phone: ________________ Email: __________________
Date Requested
Session
Starting Time
Quantity*
Monday, August 24
th
2
12:00
Tuesday, August 25
th
4
12:00
Wednesday, August 26
th
6
12:00
Thursday, August 27
th
8
1:00
Gates open at 11 a.m. on all dates. Day sessions typically end at 4 or 5 p.m.
*Maximum 100 tickets for each time block per agency
For each day that you have requested tickets, please indicate any accessibility accommodations:
Date: _______________
Wheelchair access: Approximate number of spots: ______________
Single step access to bleachers: approximate number of spots: _____________
Walking access to bleachers (multi-level steps): approximate number of spots _____________
Additional Notes/Comments: _________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Please email this form to
amy.tibor@ct.gov
by July 31
st
at 12:00 p.m.
Questions regarding your ticket order after July 31st? Please contact Jessica Malinconico
at
| 203-776-7331 ext. 5872

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