ARKANSAS STATE UNIVERSITY
Presents:
“GIRL SCOUT DAY” at ASU Indian Basketball
ASU Indians vs. New Orleans
Saturday, December 30, 2006
2:00 pm
TICKET ORDER FORM
Deadline to reserve passes/order tickets: December 15th
Tickets may be picked up from the council office Dec 19th – 22nd
On game day, enter at the YELLOW entrance
Note: Free passes are for registered girl members only (girls must wear GS t-shirt or uniform on game day); Additional tickets may be purchased for $5.00 each (adult and children)
Girl Scout’s Name (free pass): _____________________
Troop # ______ Level _____
# of additional tickets purchased @ $5.00 each:
# Adult _______ #Child _______
Name (adult): __________________________
Daytime phone # ________________
Address: ______________________________
City & Zip ______________________
Total amount due $__________
Payment method: ___cash
___check- payable to ASU Ticket Ofc
___credit card
Credit Card # _____________________
Expiration date ________________
Signature ________________________
Return this form to: Debbie Franks
Girl Scouts of Crowley’s Ridge
4803 E. Johnson Ave
Jonesboro, AR 72401
Email: dfranks@crgs.org
Phone: 870-932-2833, ext 105; 800-932-2833, ext 105
Fax: 870-932-2834
