Join fellow University of Colorado alumni and friends for Alumni Night at the Colorado Rockies vs. Los Angeles Dodgers! Show your CU pride by wearing black and gold! Saturday, August 20, 2011 at 2:10 pm Purchase tickets through the Office of Alumni Relations by emailing, faxing, or mailing this form. You will receive an email confirming your order. Tickets will then be available for pick up at the Will Call box office at Coors Field. University of Colorado Denver Alumni Relations – Anschutz Medical Campus 13001 17th Place, A080 Aurora, CO 80045 Fax: (303) 724-1521 Phone: (303) 724-2518 Number attending ____ x $15 each = $________ TOTAL = $________ Enclosed is a check made payable to: CU Denver Alumni Relations Please charge my credit card: □ VISA □ MASTERCARD □ AMERICAN EXPRESS □ DISCOVER Card Number:___________________________________ Expiration:____ /_____ Signature:_________________ Name:________________________________________________ Degree:______________ Class Year:________ (Tickets will be available for pick up under the registered person’s name.) Campus Affiliation: □ Anschutz Medical Campus/9th Ave. Campus □ Downtown Campus Street:________________________________________City:_________________ State:______ Zip:__________ Phone Number:_____________________ Email Address (REQUIRED):____________________________________________ Call (303) 724-2518 or email healthalumni@ucdenver.edu for questions or to make a payment over the phone.