Text Box:     FIRST & LAST NAME:_______________________________________TEL.:______________________________   ADDRESS:_______________________________CITY:______________________POS.CODE:_______________   E-MAIL:_______________________________________________ Please include e-mail for order confirmation. Text Box: VERY LIMITED NUMBER OF VANCOUVER CANUCK TICKETS Text Box:     Selected game:   Date: ________________________________________     Opposing Team: _______________________________      TOTAL AMOUNT CHARGED TO CREDIT CARD:  ___________       Text Box: To order your tickets, please fill out this order form and fax to 604-570-0100. Telephone inquiries may be made to 604-290-5833 Text Box:  Tickets may be picked up directly from home/office (located in North Burnaby) by appointment thereby saving the delivery charge.         DATE OPPONENT TIME Seating Location Price Per Ticket Delivery Charge Total Cost Thu. Dec. 1 vs Nashville 7:00 PM Section 118 Row 13 Seats 1 & 2  $            185.00  $             10.00  $      380.00 Sun. Dec. 4 vs Calgary 6:00 PM Section 118 Row 13 Seats 1 & 2  $            185.00  $             10.00  $      380.00 Tue. Dec. 6 vs Colorado 7:00 PM Section 121 Row 22 Seats 109 & 110  $            119.28  $             10.00  $      248.56 Tue. Jan. 31 vs Chicago 7:00 PM Section 118 Row 13 Seats 1 & 2  $            208.00  $             10.00  $      426.00 Tues. Mar. 6 vs Dallas 7:00 PM Section 121 Row 22 Seats 109 & 110  $            119.28  $             10.00  $      248.56 Mon. Mar. 26 vs Los Angeles 7:00 PM Section 120 Row 11 Seats 101 & 102  $            145.00  $             10.00  $      300.00 Mon. Mar. 26 vs Los Angeles 7:00 PM Section 118 Row 13 Seats 1 & 2  $            185.00  $             10.00  $      380.00 Text Box:   METHOD OF PAYMENT: (PLEASE CHECK ONE)           VISA                  MASTERCARD   CARD NUMBER: _____________________________________   EXPIRY DATE (MONTH/YEAR): ___________   SIGNATURE: ________________________________________   CREDIT CARD STATEMENTS WILL SHOW A CHARGE BY VANCOUVEREVENTS.COM LTD.