SAB Steelers Game September 27, 2026

This form is ONLY for Credit Card payments of Student Activities Events. If you need to pay with cash, you must go to Student Engagement to sign up. This form is only valid when completed with a credit card payment.

Upon submission of form and credit card payment there are NO REFUNDS.

The Student Activities Board will be sponsoring a trip to Pittsburgh for a Steelers Game vs the Cincinnati Bengals on Sunday September 27, 2026. The bus will leave from Miller Hall at 10:15 am. The cost per student is ONLY $75 which includes your ticket and transportation. Due to mobile ticketing ALL students MUST ride the bus to and from the event.

If making a payment in Cash, you must come to Student Engagement to complete the form and make cash payment.

Name of Student Participating in Event Name of Student Participating in Event First Last
Name on Credit Card if Different than the Name Above Name on Credit Card if Different than the Name Above First Last
Select Credit/Debit Card Type

Select Credit/Debit Card Type Visa Mastercard Discover American Express If you do not have a credit card, still fill out this form, you must head to student services ASAP with cash or check payment to hold your spot.
Email address
Phone Number Phone Number - ### - ### ####
ID Number
By signing here you understand the following:

- Due to the limited number of tickets for this event, if you are unable to attend you MUST find a STUDENT replacement (you can check with the office to see if anyone is on the wait list). If no STUDENT replacement can be found, you will be responsible for paying the "full ticket price."

- Due to mobile ticketing ALL students MUST ride the bus to and from the event.

-This is a University sponsored event. Therefore, ALL University polices must be followed and will be enforced.

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I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
FOR OFFICE USE ONLY