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2021 GROUP TICKETS APPLICATION

ACCOUNT INFORMATION

Company Name Date

Contact Name Day Time Phone Number

Address Cell Phone Number

City / State / Zip E-Mail INDIVIDUAL GAMES - Quantity must be 10 or more for each game; Price includes NC Sales Tax NUMBER OF TICKETS - LESS THAN 20: x $ 45.00 = $ - TBD NUMBER OF TICKETS - 20 OR MORE: x $ 40.00 = $ -

Pittsburgh Steelers NUMBER OF TICKETS - LESS THAN 20: x $ 45.00 = $ - TBD NUMBER OF TICKETS - 20 OR MORE: x $ 40.00 = $ -

New York Jets NUMBER OF TICKETS - LESS THAN 20: x $ 90.00 = $ - Sunday, September 12, 2021 @ 1:00 PM NUMBER OF TICKETS - 20 OR MORE: x $ 86.00 = $ -

New Orleans Saints NUMBER OF TICKETS - LESS THAN 20: x $ 90.00 = $ - Sunday, September 19, 2021 @ 1:00 PM NUMBER OF TICKETS - 20 OR MORE: x $ 86.00 = $ -

Philadelphia Eagles NUMBER OF TICKETS - LESS THAN 20: x $ 115.00 = $ - Sunday, October 10, 2021 @ 1:00 PM NUMBER OF TICKETS - 20 OR MORE: x $ 110.00 = $ -

Minnesota Vikings NUMBER OF TICKETS - LESS THAN 20: x $ 70.00 = $ - Sunday, October 17, 2021 @ 1:00 PM NUMBER OF TICKETS - 20 OR MORE: x $ 65.00 = $ -

* NUMBER OF TICKETS - LESS THAN 20: x $ 115.00 = $ - Sunday, November 7, 2021 @ 1:00 PM NUMBER OF TICKETS - 20 OR MORE: x $ 110.00 = $ -

* NUMBER OF TICKETS - LESS THAN 20: x $ 90.00 = $ - Sunday, November 21, 2021 @ 1:00 PM NUMBER OF TICKETS - 20 OR MORE: x $ 86.00 = $ -

* NUMBER OF TICKETS - LESS THAN 20: x $ 70.00 = $ - Sunday, December 12, 2021 @ 1:00 PM NUMBER OF TICKETS - 20 OR MORE: x $ 65.00 = $ -

* NUMBER OF TICKETS - LESS THAN 20: x $ 145.00 = $ - Sunday, December 26, 2021 @ 1:00 PM NUMBER OF TICKETS - 20 OR MORE: x $ 140.00 = $ -

Games are subject to NFL Flex Scheduling policy PREMIUM HOSPITALITY EXPERIENCE - Optional add on; Price includes NC Sales Tax

All-inclusive private event inside the Atrium Health NUMBER OF PASSES - PRESEASON: x $ 69.71 = $ - Dome adjacent to that includes entertainment, buffet and domestic beer & NUMBER OF PASSES - REGULAR SEASON: x $ 134.06 = $ - wine in climate controlled venue. Opens 2.5 hours prior to kickoff and closes 30 minutes prior to kickoff.

FINANCIAL SUMMARY TICKET AMOUNT DUE: $ - HOSPITALITY AMOUNT DUE: $ - PROCESSING FEE: $ 10.00 TOTAL AMOUNT DUE: Signature

GROUP SALES PACKAGES ARE NON-REFUNDABLE I (we) understand that by returning this application with payment that our Group Sales Package is non-refundable unless game is cancelled and cannot be replayed or is played under a condition that prevents fans from attending. All orders are placed on a first come, first served basis and must be at least 10 tickets for a single game. No exchanges are allowed after order is processed. *Date and Time of Game is subject to change. Additional Restrictions May Apply. OFFICE USE ONLY

Account Date Rec'd ______Date Processed ______Sales Rep | 800 SOUTH MINT STREET | CHARLOTTE, NC 28202 | 704-358-7084 | [email protected]