Event Information

Organization
Event Name
Venue Name
Event date(s)
Event time(s)

Ticket Information

Ticket 1 regular price
Base discount price
Surcharge info	A ShowUp.com service charge, paid by the customer, will be added to the base discount price of each ticket. Surcharge rates are: $1 added to $10 or less, $3 added to $10.01-$20, $4 added to $20.01-$45, $5 added to greater than $45
Discount price w/surcharge
Ticket quantity
On sale date
Off sale date
Off sale time
Special info
Ticket 2 regular price
Base discount price
Discount price w/surcharge
Ticket quantity
On sale date
Off sale date
Off sale time
Special info

Contact and Notification Information
Please include the name and email address of up to two contacts who will receive email notification of total ticket sales at the off sale time.

Contact 1 name
Title
Email
Phone
Alternate phone
FAX
Contact 2 name
Title
Email
Phone
Alternate phone
FAX

Authorization and Payment Information
On behalf of my organization, I certify I am authorized to make tickets available for sale on ShowUp.com's Ticket Marketplace, and I do hereby authorize this offer.

Name
Title
Date
Payable to
Mailing address
Address Cont.
City
State/Province
Zip/Postal Code

This document is available in alternative formats by contacting 602.971.2223