PHYSICS DAY 2016 ORDER FORM DATE of VISIT: FRIDAY APRIL 22, 2016 (Please Type Or Print Clearly

PHYSICS DAY 2016 ORDER FORM DATE of VISIT: FRIDAY APRIL 22, 2016 (Please Type Or Print Clearly

PHYSICS DAY 2016 ORDER FORM DATE OF VISIT: FRIDAY APRIL 22, 2016 (Please type or print clearly. Please provide street address because we cannot ship to a Post Office Box.) Name of Group ___________________________________________ Your Name _________________________________________________ Mailing Address ___________________________________________ City___________________________ State_____ Zip _____________ Day Phone ( _______) ________________ Cell Phone ( _______) __________________ Email Address _________________________________ q Send me updates, discounts and special offers from the park (email will not be shared or sold) Tax Exempt: q YES* q NO * Must include a copy of current STATE tax exempt status letter. Type of Organization: (check one) q Elementary q Junior High q Senior High ALL-YOU-CAN-EAT • Groups of 15-80 are eligible to receive a PICNIC COMBO INFORMATION discount off the main gate admission price Meal Time is from 11 AM to 1PM HOW DISCOUNTED TOTAL ($62.99 plus tax). TICKET TYPE MANY? PRICE* Meal Options: Chicken Strips, All Meat Hot Dogs, • Please type or print clearly and give a street PHYSICS DAY PICNIC COMBO address as tickets cannot be mailed to a PO Box. BEST $41.21 $ Potato Salad, Baked Beans, Potato Chips, VALUE ($37.99 + $3.22 tax) Unlimited Soft Drinks, and Popsicles • Payment must accompany order form. (in catering area only) PHYSICS DAY ADMISSION ONLY $28.20 • Chaperone Tickets: Groups will receive 1 $ ($25.99 + $2.21 tax) free chaperone admission ticket for every 15 tickets purchased. 14 day advance purchase MEAL VOUCHER OPTIONS: required to be eligible for chaperone tickets and PHYSICS DAY PICNIC COMBO MEAL ONLY $14.10 $ Regular Pizza Slice with Cheesebread and Small Drink discounted parking. Tickets are non-refundable (For Chaperones & Season Pass Holders) ($13.00 + $1.10 tax) Cheeseburger with Fries and Small Drink and may not be exchanged. Chili Cheese Hot Dog with Fries and Small Drink MEAL VOUCHER $13.83 $ Chicken Strips with Fries and Small Drink • Picnic combo - 14 day advance purchase ($12.75 + $1.08 tax) required. Loaded Nachos with Small Drink Hand Dipped Corn Dog with Fries and Small Drink • Groups who do not purchase 14 days prior PARKING (including Buses) $15.00 $ will be required to pick up their tickets at Guest (per vehicle) Relations / Will Call on the day of their event. Processing Fee $10.00 PHYSICS DAY • Picnic Ticket Required for admittance into *Prices subject to change without notice. Optional Next Day Delivery ($15.00) FRIDAY, APRIL 22, 2016 picnic area. (Once order has been processed) Park Hours 9 AM to 5 PM • Free Chaperone meal NOT included with picnic $ The following attractions will be open: combo. Paid meal only ticket required. Total Order Amount • THE JOKER Inc • American Thunder • BATMAN the Ride • MR. FREEZE: Reverse Blast • The Ninja • Highland Fling • Screamin’ Eagle • Xcalibur • The Boss • Sky Screamer • Pandemonium • SUPERMAN FOR OFFICE USE ONLY: H-S H-Y H-B H-C H-O SOURCE CODE: • Grand Ole Carousel • Boomerang Date received:___________Date of visit:___________ Ticket Quantity:______________ ❒ YES • Log Flume • Shazaam Chaperone #:__________Acc. Executive: 04 Customer #:______________ ❒ NO Please hold tickets at Guest Relations Window ❒ YES ❒ NO Groups paying by check or money order can mail in If mailing through Overnight Courier: proudly accepted here order form to one of the following addresses: JP Morgan Chase; 131 S. Dearborn, 6th Floor; Chicago, IL 60603; Six Flags St. Louis LLC 26979 If mailing through the US Postal Service: To place your order with credit card, Six Flags St. Louis LLC; 26979 Network Place; Chicago, IL 60673-1269 OR order by calling in with your credit card please call 636-938-5300 ext. 6288 information: 636-938-5300 ext. 6288.

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