Safeco Field Events Deposit Form

All fields marked with an asterisk (*) are required.

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* Please indicate event type.
Corporate Event	Private Event

*Desired Date -- Month -- January February March April May June July August September October November December    -- Day -- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31    -- Year -- 2012 2013 2014

*Desired Format -- Select Format -- Meeting Reception Fundraiser Trade Show Holiday Party Sporting Event Private Party Other

*Desired Location (check all that apply):
		Diamond Club			All-Star Club
		Terrace Club			Mariners Clubhouse
		Visitors Clubhouse			Warning Track
		Field			Ellis Pavilion
		Bullpen Market			Main Concourse
		Owners Suite			Interview Room
		Full Facility			Other

*Number of Guests --Select Number --- 1-5 5-10 10-20 20-40 40-60 60-80 80-100 100+

*Budget --Select Budget --- $1,000-$5,000 $5,000-$10,000 $10,000-$20,000 $20,000-$40,000 $40,000-$60,000 $60,000-$80,000 $80,000-$100,000 $100,000+

Additional Comments:

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Please provide your contact information

* First Name		* Last Name
* Address		Address 2
* City		* State/Province	- Select One ------------------   -- STATES -- AL - Alabama AK - Alaska AS - American Samoa AZ - Arizona AR - Arkansas CA - California CO - Colorado CT - Connecticut DE - Delaware DC - Dist. of Columbia FM - Fed. St. of Micronesia FL - Florida GA - Georgia GU - Guam HI - Hawaii ID - Idaho IL - Illinois IN - Indiana IA - Iowa KS - Kansas KY - Kentucky LA - Louisiana ME - Maine MH - Marshall Isls. MD - Maryland MA - Massachusetts MI - Michigan MN - Minnesota MS - Mississippi MO - Missouri MT - Montana NE - Nebraska NV - Nevada NH - New Hampshire NJ - New Jersey NM - New Mexico NY - New York NC - North Carolina ND - North Dakota MP - Northern Mariana Isls. OH - Ohio OK - Oklahoma OR - Oregon PW - Palau PA - Pennsylvania PR - Puerto Rico RI - Rhode Island SC - South Carolina SD - South Dakota TN - Tennessee TX - Texas UT - Utah VT - Vermont VI - Virgin Islands VA - Virginia WA - Washington WV - West Virginia WI - Wisconsin WY - Wyoming   -- US ARMED FORCES -- AE - Africa AA - Americas AE - Canada AE - Europe AE - Middle East AP - Pacific   -- PROVINCES -- Ontario Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Northwest Territories Nunavut Prince Edward Island Quebec Saskatchewan Yukon   Non-US/Canada
* Zip/Postal Code		* Country	- Select One ------------------ United States Canada

* Day Phone		* Evening Phone
Mobile Phone
	Enter your mobile phone information to receive text messages & updates         from Mariners.com and MLB.com (optional).
* E-mail Address
	I would like to receive commercial e-mails from Mariners.com and MLB.com.

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 Credit Card Information

* Name on Credit Card		* Credit Card Number
* Credit Card Expiration	- mm - 1 2 3 4 5 6 7 8 9 10 11 12 - yyyy - 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022	* Credit Card Type	- Select One ------------------ Visa MasterCard American Express
Amount to Charge	You will be charged a deposit of $500.00, plus a $10.00 convenience fee per game.	* Credit Card Security Code - What is this?	Visa, MasterCard and Discover security codes are the last three digits on the back of the card in the signature box. American Express's four digit security code is located on the front of the card. [ X ]

 
  
 

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