Please make checks payable and direct all correspondence to:
Michigan Ticket Dept.

______________________________________
Name (Please Print)
______________________________________
Address
______________________________________
City/State/Zip
_______________________________
Home Phone Number
_______________________________
Daytime Phone Number

Type	Level	Qty.	Price	Amount
Public Season	Gold	____	$180.00	$________
Staff/Faculty	Gold	____	$144.00	$________
			Service Charge	$ 5.00
			Season Ticket Total	$________

Payroll Deduction (U-M Employee Only)

Social Security # ___________________
I authorize the charges to be deducted in three equal installments from my
Wages. I agree to pay any unpaid balances upon termination of employment.

Work Phone ______________________________

Limit of Two Season Tickets
Per Application


Office Use Only: Amount ________ Date ________ C ____ Ck ________ PD ________ By ________ Batch ________



1999-2000 Michigan Men's Basketball Individual Game Ticket Application
Please make checks payable and direct all correspondence to:
Michigan Ticket Dept., 1000 S. State St., Ann Arbor, MI 48109-2201

Name (Please Print) ________________________________
Address __________________________________________
City/State/Zip _____________________________________
Home Phone Number _______________________________
Daytime Phone Number _____________________________

Date	Game	Level	Qty.	Price	Amount
Feb 1	Michigan State - sold out	Gold	____	$12.00	$________
Feb 6	Ohio State	Gold	____	$12.00	$________
Feb 13	Indiana - sold out	Gold	____	$12.00	$________
Feb 19	Penn State	Gold	____	$12.00	$________
Feb 24	Purdue	Gold	____	$12.00	$________
TBA	Iowa (2/29, 3/1 or 3/2)	Gold	____	$12.00	$________
Mar 9-12	Big Ten Tournament	N/A	____	$200.00	$________
		Service Charge			$5.00
		Individual Ticket Total			$________
MasterCard #________________________ Exp. Date ____________
Visa # _____________________________ Exp. Date _____________