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20I2-I3 NEW YORK ISLANDERS BLADES FOR GRADES Card # __________________________________________ Exp. Date ________________________________________ Name on Card ____________________________________ Signature _______________________________________ Number of Additional Tickets Purchased _________________ (Available at $25 each) After studying so hard to score those great grades, the kids deserve a special night out. The Islanders are making that happen! C ongratulations on your achievement! Please fill out the form below and submit (mail, fax or email) to receive your two (2) free tickets to the game of your choice from the list provided. All forms should be submitted no later than one (1) week prior to the game of your choice. All students make sure to submit a copy of your good grade with this form.*Keep up the good work! FOR MORE INFORMATION PLEASE CONTACT: TEL: 1.800.882.ISLES EXT 4 I EMAIL: [email protected] NEWYORKISLANDERS.COM I FACEBOOK.COM/NEWYORKISLANDERS I TWITTER.COM/NYISLANDERS Student Name: __________________________________________________ Parent’s Name: _________________________________________________ Address: _______________________________________________________ City: __________________________________________________________ State: ________________________ Zip: ____________________________ Phone: _____________________ Email: ____________________________ Your Grade: ____________ School Name: ____________________________ Teacher’s Name: ________________________________________________ METHOD OF PAYMENT Make check or money order payable to: NEW YORK ISLANDERS AMEX MC VISA Check MAIL TO: NEW YORK ISLANDERS ATTN: BLADES FOR GRADES/ANN RINA 1255 Hempstead Turnpike, Uniondale, NY 11553 FAX: 516.501.6850 Limit two (2) tickets per student. Families with more than one child participating in the program must select different game choices. Do not bring this to a New York Islanders hockey game. You must mail, fax or email this form to receive your tickets. Tickets will be mailed to all students. Tickets not redeemable as part of a group event. *Game exclusions apply. While supplies last. This program is open to elementary school students grades 1-6. PRESENTED BY ISLANDERS VS SENATORS | TUE. MAR. 19 @ 7PM
