Ice Chips |

Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Email*
Please select if you are a member of the following:*
- I am a member of The Skating Club of Boston.
- I am a Skating Academy participant.
- Other
How did you hear about our Ice Chips VIP packages?*

Would you like the donor name to be included in the Ice Chips Program?
- Yes
- No
Please provide the donor name as it should appear in the Ice Chips Program:*

Please select how you would like to receive your tickets.
- Will Call - Tickets will be held at the Bright-Landry Hockey Center for day to day show pick-up. Photo ID required.
- Club Office - Tickets may be picked up at The Skating Club of Boston Club Office Monday - Friday from 10am-5pm. After April 4th, the tickets will be picked up at Will Call. Photo ID required.

How may we process your payment?
- Club Account - Club account charges will include a 5% convenience fee.
- Check - Checks are made payable to The Skating Club of Boston and can be mailed/dropped off at the Club Office on 1240 Soldiers Field Road, Boston MA, 02135.
- Credit Card - The Skating Club of Boston will contact you by the telephone number you provided to collect credit card information securely.
I give consent to The Skating Club of Boston to charge my Club account and recognize there will be a 5% convenience fee.*
- Yes
- No
I give consent to The Skating Club of Boston to call the provided telephone number and collect credit card information securely over the phone.*
- Yes
- No
Please type your full name to indicate your signature for this transaction.*
First Last
Date*