2 0 11 -12 M E M P H I S G R I Z Z L I E S Basketball Clinic Order FormCLInIC InCLudES:

• 90-minute basketball skills clinic run by Memphis Grizzlies staff

• Focus on fundamentals with fun drills and exercises (dribbling, shooting, passing, etc.)

• Terrace Level Ticket to a Grizzlies game

• Additional tickets offered at a discount

• Appearance by Grizz, 2011 NBA Mascot of the Year

• Jr. Grizzlies Jersey for each participant

GRIZZLIES GAMES AVAILABLE:

TO ORdER, COMPLETE FORM And: MAIL TO: Memphis Grizzlies, Attn: Group Sales,

191 Beale Street, Memphis, TN 38103FAX TO: 901.205.1444EMAIL:

CLInIC ATTEndEE nAME PAREnT nAME

AddRESS CITY STATE ZIP

dAYTIME PHOnE EVEnInG PHOnE PAREnT EMAIL*

VISA MasterCard AmEx Discover Money Order

CREdIT CARd nuMBER / CHECK nuMBER EXP dATE SECuRITY COdE

SIGnATuRE nAME On CARd

AGE:__________ JERSEY SIZE: YS_____ YM_____ YL_____ AS_____ AM_____ AL_____ AXL_____ AXXL_____

Check payable to Memphis Grizzlies

Check here if you need accessible seating.

*Check here to receive Memphis Grizzlies and FedExForum e-mailcommunications with your opt-in consent. To discontinue at any time, click “Unsubscribe” at the bottom of any received e-mail.

All tickets are subject to availability and must be purchased in advance by mail, phone or fax. Orders will be filled on a first come, first serve basis. Any ticket orders received within seven (7) days of the game, will be held at FedExForum Will Call Box office for pick up 3 hours prior to game. ALL ORDERS ARE NON-REFUNDABLE.

OPPOnEnT GAME dATE

_____________________________ __________________

LOCATIOn PRICE QuAnTITY

Basketball Clinic $35 x _______ = $ ________

AddITIOnAL TICKETS: CLInIC TICKET WILL BE WITH AddITIOnAL TICKETS

Terrace Level $25 x _______ = $ ________

First Tennessee Club $70 x _______ = $ ________

+Handling Fee $3

TOTAL duE = $ _______________