Form

SPIRIT BUS SEAT ORDER FORM ***35.00 PER SEAT.. SHS vs WCHS Football Game Friday November 30, 2012 in Waycross Georgia. Spirit Bus Departs SHS @ 12:00 NOON and Returns at 2:00 AM APPROXIMATELY
Full Name
First Name Last Name
E-mail
Phone Number
- Area Code Phone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

No. of Seats
YOU ARE AUTHORIZING STEPHENSON FOOTBALL BOOSTER CLUB TO CHARGE YOUR CREDIT/DEBIT CARD $35.00 FOR EACH SEAT YOU HAVE REQUESTED. PLEASE NOTE THERE ARE NO REFUNDS GIVEN AFTER YOU HAVE SUBMITTED YOUR ORDER FORM. YOU WILL RECEIVE AN EMAIL CONFIRMATION ONCE YOUR CARD IS CHARGED. This is a secured payment link.
NAME AS IT APPEARS ON CREDIT CARD

BILLING ADDRESS ON CREDIT CARD

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

CREDIT CARD NUMBER
EXPIRATION DATE
3 DIGIT CODE
Should be Empty: