Bulk Ticket Order Form
Print this page, fill out information and mail with payment to:
Rollerdome Inc.
320 East Main Street
Anoka, Minnesota 55303
| Name: | _____________________________________________ |
| Address: | _____________________________________________ |
| City, State, Zip Code: | _____________________________________________ |
| Phone: | _____________________________________________ |
| Quantity | Price | Total | |
| Adult | x $6.00 | $ | |
| Student | x $5.00 | $ | |
| Pre-teen / Sr. | x $4.00 | $ | |
| Rental | x $5.00 | $ | |
| TOTAL | $ |
Please allow 5 - 7days for delivery. No other
discounts may apply.
.