NAME ___________________________________________________

1. The Washington Wizards Would Like To Welcome National Alopecia Foundation I would like _____ Lower Level tickets @ $55 (reg. $95) = $ _____ I would like _____ Lower Level tickets @ $35 (reg. $75) = $ _____ I would like _____ Upper Level tickets @ $22 (reg. $35) = $ _____ National Alopecia Night! Wizards vs. Detroit Pistons Tuesday, April 5, 2011 @ 7pm Sub total $______ Total # tickets _______+ $5.00 (service charge) TOTAL $______ For more information, please call Jill Buxbaum @ (202) 292-1982 or email: jbuxbaum@monumentalsports.com NAME ___________________________________________________ ADDRESS ________________________________________________ CITY ______________________STATE______ZIP________________ DAY PH# ___________________ HOME PH#_____________________ FAX # ___________________________________________________ METHOD OF PAYMENT: 1) CHECK (Payable to Washington Wizards) *Returned checks subject to $30 fee 2) CREDIT CARD (circle one): AMEX VISA MC DISC Card # ________________________________________________ Exp.Date________ Signature_____________________________________________ (Signature required to process order) *Orders received within 10 days of the game will be left in WILLCALL under the name: __________________________________ (photo ID required) Accessible Seating Is Available COMPLETE THIS FORM & FAX TO: (202) 661-5068 ATTN: Jill Buxbaum OR MAIL TO: WASHINGTON WIZARDS 601 F STREET, NW WASHINGTON, DC 20004 ATTN: Jill Buxbaum *Tickets will be mailed to you or you will be contacted concerning picking your tickets up at “Will Call.” If you have not been contacted concerning an order you have placed AND it is within 72 hours of your game, please email Alan Fontane at: jbuxbaum@monumentalsports.com Box Office Use Only: 50LL= 5620 38UL= 5619 30UL= 5619 -Offer good on this form only. Not available at Verizon Center box office or TicketMaster. All promotions subject to change. No refunds or exchanges.-