Employee referral form



40862240002018 ERA Winter Funfest at Belmont ParkTicket Purchase GuidelinesThis event is for current ERA members that will be accompanied by their families and friends only. Each member is allowed up to 5 reduced price tickets at $15 each. A grand total of 10 tickets per member is allowed, but you will only receive a discount for up to 5 people. You MAY NOT purchase tickets to sell, give to non-ERA or other ERA members. They are non-transferable. The non-discounted price is $42ea. Sorry, but no refunds will be issued. The ERA member MUST be attending.Belmont Park is an unfenced open air amusement park. Admission to the park and Parking is free. Each ticket purchase entitles you to one “Ride & Play Pass” and one meal voucher. Please refer to the event flyer for more details. A ticket is not necessary if you are just observing or accompanying but do not plan to participate in any rides or other attractions.Belmont Park does have restrictions on some rides for children based on height, but there are also rides available for smaller children. It is your responsibility to verify which rides your child qualifies for by visiting the rides page on Belmont Park’s website. Please refer to the website for more information about the park, rides, etc. For all ticket questions, you must email me directly as Belmont Park will not be able to assist you.If it is discovered that the order has been placed with false information, (i.e. NOT an ERA member, tickets sold to others, etc), your order will be canceled, and you may be banned from future ERA events. In case of rain, we will reschedule for the following Saturday, December 15th.Tickets are first come – first served. Email Roxanne.Dierking@ga- with this form filled out and attached. Please include the following as the subject line of your email: WINTER 2018ERA Employee InformationERA Member:Enter your nameDate:Enter today’s dateGA Site:GA, ASI, EMS, MS, or OtherDepartment/Location:Building #E-Mail Address:Enter your work emailPhone No:Full work phone #Family & Friends Ticket QuantitiesUp to 5 discounted tickets at $15ea. All others are $42ea+fees. Max of 10 tickets overall (Processing fees of 5.5% per order, plus .79 per ticket are already included in the overall ticket price)Quantity of Discount Guest Passes:QtyQuantity of $42 tickets:QtyTotal Ticket Quantity:TotalEvent AgreementSignature:Sign here to acknowledge your agreement with the ticket rules.By typing/signing your name on this form you are agreeing to abide by the rules of the event, that you are a current member of the ERA, that you will not resell your tickets or otherwise profit from them and that you have purchased the proper type of tickets as defined in the rules above. Email Roxanne.Dierking@ga- with this form filled out and attached. Please include the following as the subject line of your email: WINTER 2018 ................
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