Merrimack Basketball Group Outing Request Form 
978-837-5324 
athletics@merrimack.edu 

This form does not confirm reservation;
registration is complete once payment is received through box office.
 

OUTINGS
(Min. 10): 
All Ages - $3 each 

 Interested in having your youth team scrimmage during halftime?
If you schedule a halftime scrimmage all players/coaches are FREE and family members are $3 each.

*Admission includes admittance to both women's and men's games

Group Ticket Application Form
Merrimack College Athletics
315 Turnpike St.
North Andover, MA 01845

*Please make sure to confirm on next screen once you hit submit.
Payment must be received within 30 days of successful application submission.

SCHEDULES
2012-13 Men's Basketball / 2012-13 Women's Basketball 

Personal Information

Group Name (Size):
Contact Person:
Address:
City, ST Zip:
Requested Game (Date):
Event Type (Group Tickets, Halftime Scrimmage):
Home Phone:
E-mail:
Payment Type (Check/Cash/CC):
Additional Notes/Requests: