REQUEST INFORMATION First Name * Last Name * Email Address * Mobile Phone Zip or Postal Code Army A Club Membership: What Membership Level are you interested in? AD’s Circle ($25,000+) Commander in Chief ($10,000-$24,999) Commandant ($5,000 - $7,499) Five Star ($2,500-$4,999) Colonel ($1,500-$2,499) Major ($750-$1,499) Captain ($375-$749) Lieutenant ($200-$374) Ranger ($100-$199) Individual Game or Season Basis: Are you interested in Season Tickets or Individual Game Tickets? Season Ticket Membership Single Game Tickets Both Number of Seats You're Seeking: Select Number of Seats: 8 6 4 2 Seat Locations: What Seat Location are you interested in? Suites Healy Club/ Healy Club Balcony Superintendent’s Loge Hoffman Press Box Kimsey Club Affiliation: (Select All That Apply): USMA Graduate (If Applicable See Alumni Box at the Bottom of this Form) Cadet Parent Local Business Owner Active Duty/Veteran Fan/Supporter Alumni (If Applicable): If Applicable, Please List Your USMA Graduation Year: address1