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401 CHANNELSIDE DRIVE TAMPA, FL 33602 • WWW.TAMPABAYTIMESFORUM.COM COLDPLAY: MYLO XYLOTO TOUR JUNE 28, 2012 Fill out order form completely. TICKET ORDERS ARE SUBJECT TO AVAILABILITY. Incomplete order forms will not be processed. You may order up to EIGHT tickets for this event. PLEASE FAX COMPLETED ORDERS TO 813.301.1484 OR SCAN AND EMAIL TO [email protected] # OF SEATS @ $ 96.75* x = *Ticket includes your seat, plus gourmet food, beer & wine. For Executive Suites Information, please call the Suite Sales Department at 813.301.CLUB (2582). # OF SOUTH REGIONAL PARKING GARAGE PASSES @ $ 10.00 x = HANDLING FEE: $ 3.00 TOTAL: PLEASE FILL OUT THE CREDIT CARD INFORMATION BELOW CARD HOLDER SIGNATURE VISA MC AMX CARD NUMBER EXP DATE CS0628 ACCOUNT NAME ACCOUNT NUMBER CONTACT EMAIL CONTACT PHONE #
