1559 Willingdon Ave., Burnaby, BC - V5C 5H8

Telephone: 604-290-5833  Fax: 604-570-0100

E_mail: footballpool@telus.net  Web Address: www.vancouverevents.com

______________________________________________________________________________

Football Pool Information Order Form

Item

Price/Ticket

Qty

Total

Regular Season ($10/week)

     $130.00

 

 

Elimination Pool

$50.00

 

 

WildCard Weekend

$10.00

 

 

SuperBowl

$20.00

 

 

Grand Total

 

 $

 

Name on credit card:

Card type (Visa, or MC):

Credit card number:

Expiry:

Signature:

Amount:

               $

Please fill in the above and fax to 604-570-0100.

Credit card charges will be processed by Vancouverevents.com Ltd.

Thank you for your participation.