Name____________________________________________________

Address __________________________________________________

City__________________________State______ Zip _____________

Payment: (Check One)

o VISA o MC o AMEX o DISCOVER

Card #:___________________________________ Exp. __________

o Check (payable to UMass Athletics)

Signature:_______________________________Date: ____________

Please return to:

UMass Ticket Office, 200 Commonwealth Ave., Amherst, MA 01003

2012 UMASS FOOTBALL SEASON TICKET ORDER FORM

ITEM PRICE QTY. TOTAL

Club Level $195(Includes $25 Donation*)

Lower Level Sideline $130

Handling Fee $10

GRAND TOTAL

* Minuteman student-athlete scholarship fund

866-UMASS-TIX