ARKANSAS STATE UNIVERSITY
Presents:
“GIRL SCOUT DAY” at ASU Lady Indian Basketball
ASU Lady Indians vs. Oklahoma State
Saturday, December 9, 2006
7:00 pm
TICKET ORDER FORM
Deadline to reserve passes/order tickets: December 1st
Tickets may be picked up from the council office December 5th-9th
On game day, enter through 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 $4.00 each (adult and children)
Girl Scout’s Name (free pass): _____________________
Troop # ______ Level _____
# of additional tickets purchased @ $4.00 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