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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!

Congratulations 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] 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 PAYMENTMake check or money order payable to: NEW YORK ISLANDERS

AMEX MC VISA Check

MAIL TO:NEW YORK ISLANDERS ATTN: BLADES FOR GRADES/ANN RINA1255 Hempstead Turnpike, Uniondale, NY 11553FAX: 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

ISLANDERSVS SENATORS | TUE. MAR. 19 @ 7PM

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