Text Box: Yes, e-mail me the pricing info and confirm availability for the following game:
Date of Game: ___________________________________________
Opposing Team: _________________________________________
Number of ticket packages preferred (34 or 40) __________________
Location of bus pick up and drop off:
Address: ______________________________________________
City: __________________________ Postal Code: _____________
Preferred Pick-up time (between 5 and 5:30 pm is generally a good time): __________
Your Name: ____________________________________________
E-mail Address: _________________________________________
Telephone Number (preferably cell phone): __________________________
Please print, fill in and fax this form to 604-570-0100 
or print, fill in, scan and e-mail to canucksbus@telus.net 
If you have any questions, we can be reached via telephone at 604-290-5833