Name: _________________________________________________________________________________________________________

Address: ________________________________________________________________________________________________________

City: ________________________________________________________________ St: __________ Zip: ________________________

E-mail: __________________________________________________________ Phone: ________________________________________

Check # __________ (Make check payable to KFC Yum! Center) Credit Card

Credit Card Number: __________________________________________________________________ Exp: ________ / _________

Signature: _______________________________________________________________________________________________

REPLY TO:

Orders are placed on a first-come, first-served basis. Tickets are not refundable after purchase. Prices include facility fees and taxes.

Take advantage of the gym club price available until July 8!TICKET INFORMATION

PAYMENT INFORMATION

Sessions Public Gym Club Quantity TOTAL All-Session Wristband $75 $50 _____________ = ________________ Thursday Evening Session $20 $10 _____________ = ________________ Friday Evening Session $20 $10 _____________ = ________________ Saturday Evening Session $25 $10 _____________ = ________________

• All-Session Wristband includes all sessions at the Kentucky International Convention Center and KFC Yum! Center, including the evening sessions.

• Evening Sessions include only the evening session at the KFC Yum! Center on the specified day.• Single day tickets that do not include the evening sessions will be available on-site only.

Handling Fee: $7Grand Total =

KFC Yum! CenterAttn: Marketing Department1 Arena PlazaLouisville, KY 40202Phone: 502.690.9000Fax: 502.690.9010Email: events@kfcyumcenter.com

Gym Club Name(important for tracking incentives)

For a schedule of events and additional details,please visit USAGymChamps.com

QUESTIONS?events@kfcyumcenter.com

502.690.9000