UNIVERSITY OF MIAMI EMPLOYEE - PAYROLL DEDUCTION AUTHORIZATION Employee Name: __________________________________ UM C#: ______________ Campus: ___ Gables/RSMAS ___ Medical ___ UMMG ___ UMH Job Code: ___ Admin/Staff ___ Faculty Job Status: ___ Full Time Regular ___ Faculty Full Time Regular/Partial Street Address: _________________________________________________________ City: ______________________________ State: ________ Zip: _________________ Home Phone: ______________________ Office Phone: _______________________ E-mail: ________________________________________________________________ Sun Life Stadium - 2015 Employee Pricing GATE C NORTH 313 B 211 1 11 210 209 218 117 118 219 220 221 222 105 304 204 104 303 203 103 302 202 102 301 201 101 253 35 4 15 3 150 149 GOLDEN CANE 148 144 143 142 CHAMPIONS SUITE 3 251 250 249 248 247 246 245 244 243 242 328 227 228 129 229 329 130 230 330 131 231 331 232 132 No Alcohol 332 133 233 333 134 234 334 135 235 335 236 336 237 238 239 240 350 349 348 347 346 345 344 343 342 G E AT F Signature: ________________________________________ 341 $608 $308 $300 $500 $308 $192 $312 $252 $60 $196 $196 N/A $172 $79 $112 Young Alumni $112 $56 Youth $60 $39 $40 $112 N/A $56 FOR INTERNAL USE ONLY CLUB LEVEL Donation N/A Youth Price: Available to youths in grades 12 and under Alumni Discount: 20% off ticket price in select sections Young Alumni: Graduates within past 5 years Employee Discount: 20% off ticket & donation in select sections Date: _______________ Please make sure that ALL requested information is provided. Incomplete forms will not be processed until ALL requested information is complete. GATE G SOUTH SEASON TICKETS Total Price Section Ticket I hereby authorize my employer to withhold and set apart a goal amount shown above beginning _____________ towards any required seating donations, tickets, parking or handling fees for my 2015 Football Tickets. I am paid (check one): _____ Monthly _____ Bi-Weekly VIDEO BOARD 340 351 Section: ____________________ Row: _______________ Seat: _______________ # of Tickets: __________ x Donation Amount: _________________ = ______ [798] # of Tickets: __________ x Ticket Cost: _______________________ = ______ [600] # of Parking: __________ x Parking Cost: _______________________ = ______ Handling Fee: = _$20__ [600] TOTAL: = _______ 337 8 33 9 33 241 352 H This amount will represent payment for athletic season tickets (football) I have ordered through the Hurricane Ticket Office. A $20 handling fee will be added to all ticket orders. Required Football Seating Donations must be paid in full by May 31, 2015. Required ticket payments must be paid in full by August 15, 2015. The IRS requires the Hurricane Club to deduct the value of member benefits from the amount of the gift for tax purposes. 327 226 9 13 252 35 6 225 138 145 154 254 32 126 FIELD CLUB 305 D 5 224 12 5 119 120 121 122 FIELD CLUB 106 VIDEO BOARD 114 115 116 217 GATE E EAST 206 205 AT E 216 AT E No Alcohol Sections 306 G 215 FIELD CLUB 107 355 214 FIELD CLUB 207 256 G VIDEO BOARD 32 110 208 356 323 223 212 0 307 GATE A WEST 1 31 31 308 317 318 319 320 321 322 324 213 VIDEO BOARD 309 314 315 316 312 147 G E AT Total Price Section Ticket Donation $25,000^ Golden Cane LRB N/A $25,000 $15,000^ Golden Cane N/A $15,000 $8,000^ Field Club $1,232 $6,768 $308 $1,692 $1,400 $2,000 $1,960* Legends $560 $1,260* Legends (Alumni) $560 $700 $1,408 $308 $1,100 $796 $308 $488 $796 LIV $620 $420 Alumni $308 $488 $280 $340 $280 $140 ^ Includes 4 seats, hospitality and premium parking * Includes food, non-alcoholic beverages and parking Prices Reflect the 20% Discount - Employees are eligible for a max of 4 tickets at the employee rate Ticket Code (600): Donation Code (798): Dates: ________ to ________ Dates: ________ to ________ Period Amount: $___________ Period Amount: $___________ Goal: $__________ Goal: $__________ MAIL / FAX TO: University of Miami Athletic Department Hurricane Ticket Office Interoffice Locator Code: 0820 or Fax: (305) 284-5031 To speak with a Ticket Sales Representative call (305) 284-2263 2015 Parking Information
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