Old Dominion University

Friday, November 16, 2018
Renaissance Portsmouth-Norfolk Waterfront Hotel
7:00PM-9:00PM

FOOTBALL ALUMNI EVENT REGISTRATION INFORMATION:

Cost Includes: Alumni Social, ODU Football T-shirt and one (1) game ticket to the ODU vs. VMI Game on 11/17/2018

Qty

Description

Amount

Total

Football Alumni Social Ticket

$25.00

Total: $25.00

Payer Details

First Name: *

Middle Initial:

Last Name: *

T-Shirt Size: *

T-shirts for Football Alumni are in a Men’s Cut

Are you an Alumnus? *

If so, please enter class year.

Guest:

Relationship to Football Alumni:

ODU Graduation Year (if applicable):

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Home Phone:

Business Phone:

E-mail: *

A receipt will be e-mailed to this address. It will include your ODAF login information. Please allow 5 full business days to receive this email.

Comments:

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *