GOPHER TAKEDOWN CLUB MEMBERSHIP APPLICATION by Ejx7jD8z

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									                                                         ®
                             2012 / 2013 GOPHER TAKEDOWN CLUB
                      MEMBERSHIP APPLICATION & NCAA TICKET ORDER FORM

                                           NCAA Tournament is March 21st – 23rd, 2013

                                                       Mission Statement:
             To support the Minnesota Gopher Wrestling Program and its participants through our Booster Club and its activities


Benefits of Membership:
              Group Hotel & Tournament Ticket Seating For NCAA and Big Tens,
              Booster Club Web Site ( WWW.GOPHERTAKEDOWNCLUB.COM )
              Home Match Socials
              NCAA Socials (Friday and Saturday nights)

NAME (s): _____________________________________________________________
ADDRESS: ____________________________________________________________
______________________________________________________________________
Home Phone: ______________________ Work Phone: _______________________
EMAIL ADDRESS: ____________________________________________________
 _______________________________________________

You may order your 2013 NCAA Tournament tickets at this time and guarantee yourself one of the seats we have
reserved in W. Des Moines, IA. There are some restrictions placed on each order:
First, you must be a Takedown Club Member to order tickets; this will ensure our booster club members have first
chance at ‘our group seating’.
Second, there is a limit on the amount of tickets your membership allows you to purchase.
If you have any questions in regards to the upcoming 2012 NCAA Tournament, feel free to call the Gopher Wrestling
Office at (612) 625-1013.

1 all session ticket + a wristband entrance to both socials will be $225.00 (this price is subject to change).

Student Membership                                         ____________ X                       $ 50        =     _____________
Membership (single person) or                              ____________ X                       $100        =     _____________
Second member (couple)     or                              ____________ X                       $150        =     _____________
Family membership                                          ____________ X                       $200        =     _____________

Each NCAA Ticket (includes social fee)                    ____________ X                       $225**        =    _____________
                                                                                          ** subject to change
Memberships + NCAA Ticket TOTAL                                                                              =    _____________

I would like to be seated with the following group: _________________________________________

If you ordered more than 1 ticket, please list the names of the people that are included.
1. _________________________________              2. ________________________________
3. _________________________________              4. ________________________________
Please Return This Form with Payment to:                  Gopher Takedown Club
                                                          240 Bierman Field Athletic Building
                                                          516 – 15th Avenue S.E.
                                                          Minneapolis, Minnesota 55455
                                                                                                                  Ticket/Membership – 07/26/2012

								
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