2007 GRAND NATIONAL FAX-IN TICKET ORDER FORM Fax To: (415) 469-6111 1. Print this form by selecting File, then Print from the menu at the top left of your browser. 2. Click here for the schedule and ticket price information you need to fill in this form. 3. Fill in ALL the information blanks on the printed form clearly and legibly. (IMPORTANT!) 4. Sign this ticket order form (no purchases honored without your signature). 5. Fax the completed form to The Grand National Box Office: 415-469-6111. Ticket Dates, Times and Prices can be found on the Box Office Arena Show Schedule. Tickets will be held in Will Call if order is received within seven days of the show date. Mail tickets to: Name:_________________________________________________ Address:_______________________________________________ City, State, Zip:_________________________________________ In case we have a question about your order, Please provide a daytime telephone: _________________________ Or e-mail address :_____________________ Name on Credit Card:____________________________________ Circle your Card Type: Visa MasterCard Discover Amex Account Number:_______________________________________ Expiration Date:_____________ Signature:__________________________ Ticket Order Information: Date:_____________Time:___________ #______Tickets @ $_____________= $__________ Date:_____________Time:___________ #______Tickets @ $_____________=$__________ Date:_____________Time:___________ #______Tickets @ $_____________=$__________ Date:_____________Time:___________ #______Tickets @ $_____________=$__________ Date:_____________Time:___________ #______Tickets @ $_____________=$__________ A $1.00 facility fee to aid in the maintainance and renovation of the Cow Palace is added to the price of each ticket. Total $__________ Note: A 15% Convenience Fee will be added to credit card orders.