Please print out this form and mail or fax to the address below: Type Price Qty. Amount VIP Sidelines $108.00     Goal Line Reserved $69.00     Goal Line Reserved (Faculty/Staff) $51.00     End Zone Reserved $30.00     Family Plan (2 Adults & 3 Children) $120.00     Community Partners In Youth $50.00     Handling Fee:     $8.00 Total Amount Due:       Name ______________________________________________________________________ Address ____________________________________________________________________ City ________________________________ State ___________ Zip Code _______________ Daytime Phone _______________________ Evening Phone __________________________ E-Mail ____________________________________ FAX _____________________________ Payment: Check American Express MasterCard VISA Make checks payable to: Florida International University        Amount $______________ Credit Card Number _________________________________ Exp. Date ________________ Payroll Deduction (10 payments) Social Security Number _________________________ Signature ____________________________________________ Date __________________ Please mail back to: FIU Football, University Park, GPA #100C, Miami, Fla. 33199 or FAX order to (305) 348-8899 Click here to be contacted by an FIU sales representative or call toll free: (866) FIU-GAME (348-4263) Thanks for supporting Golden Panther Athletics Baseball | Men's Basketball | Women's Basketball | Cross Country/Track | Football | Women's Golf | Men's Soccer Women's Soccer | Softball | Women's Swimming |Women's Tennis | Volleyball | Campus Recreation | Home