SCC Athletics Group Ticket Request Form

Email Secondary Email

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STEP 1: Contact Information

Email address *

First name

Last name

Address 1

Address 2

City

State

ZIP Code

Country

Day Time Phone

Night Time Phone

Game to Attend

Date of Game:

Sport

Men's Basketball Women's Basketball (Keokuk) Volleyball Softball Baseball

STEP 2: Tickets

Tickets

Enter Total Ticket Cost

STEP 3: Payment Information

Make checks payable to Southeastern Community College. If you intend to pay by credit card please call the Athletics Department at 319.208.5121
or visit us on site to pay in person.

Multiple Choice

Check (please fill out check number below) Cash Visa Mastercard

Check No. (if paying by check)

STEP 4: Processing

Request form can be mailed in, electronically submitted or submitted on game day with your group. Groups that would like to pay in advance, please include payment with your form when mailed to the address below. If paying by credit card, please call the Athletic Department at 319-208-5121 once you have submitted this form. Tickets will be located at the ticket office for payment and/or pickup on game day.

Questions? Call the Athletic Secretary at 319-208-5121 or email at jwhite1@scciowa.edu

Mail to: Southeastern Community College
Attn: Athletic Department
P.O. Box 180
West Burlington, IA 52655-0180

Or Fax to: 319-768-5767

* required field