Contact
Information
Name
Email
Telephone Work Home Cell
Alternate Telephone
Work Home Cell
Company Name
Building/Suite
Event /Date/Time – enter game you are purchasing
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# of Tickets
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Price Per Ticket
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Total Cost
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NO ODD LOT ORDERS
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Preseason twin pack or single game
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$40 or $65
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Atlanta Falcons vs.
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Atlanta Falcons Club Seats vs.
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$220.00
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*Ticket price is inclusive of all taxes and service fees including a $20.00 CSOA handling charge per ticket.
Payment Information:
Visa MasterCard Discover Check (Make check payable to CSOA) Cash
Card #
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—
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Exp. Date
/
SVA#
Credit Card Billing Address
Name on card __________________________________________________________________________
Cardholder authorizes Concierge Services of Atlanta to charge the above credit card the total amount of $
for the purchase and delivery of tickets. Once ticket holder has received tickets and confirmed receipt,
Concierge Services of Atlanta, Inc. and all of their respective agents are released from any claims of error. While CSOA is not responsible for lost tickets, we are often able to get replacement tickets so contact your concierge immediately.
If paying by credit card, the charge will appear as Concierge Services of Atlanta on your statement. Purchaser has read and hereby agrees to all terms set forth on this order form. All sales are final – no refunds, exchanges or cancellations.
Signature ______________________________________________________________ Date: _________________________
Please return order form to your Concierge:
Lisa Whitlow, Concierge
Email: myconcierge@csoa.com