Ticket Selection

On Saturday, June 19, 2010, the Chicago Bandits will battle the Virginia Renegades(College Allstars) at the Moyer Sports Complex in Salem, Virginia. Please select how many tickets you will be purchasing for this game.


Billing Information

Name as it appears on credit card


First Name
Last Name

Billing Address


Address

Address Line 2

City
Billing State

Zip Code
Country

Telephone Numbers


Home Number

Work Number

Cell Number

E-Mail Address

Credit Card Information


Type:   Visa     Master Card     American Express     Discover   


Credit Card Number
 / 
Expiration (mm/yyyy)
CVV Code

Ticket Buyer Information

Check this box if the following information and your billing information are the same.

Name


First Name
Last Name

Mailing Address


Address

Address Line 2

City
Mailing State

Zip Code
Country

Telephone Numbers


Home Number

Work Number

Cell Number

E-Mail Address


For more information about the game and ticket sales please contact Rick Anderson at 540-977-5760, randerson@roanoke.edu or Loren Messick at 804-450-2140, Irmessick@radford.edu