Fun Card Purchase Form

UTC Ice Sports Center
4545 La Jolla Village Dr.
San Diego, CA 92122
tel: 858.452.9110 ext.0
www.utcice.com.
Fun Card Purchase Form
Name on Fun Card *

First Name Last Name
E-mail *
Cell Phone *

- Area Code Phone Number
Enter Current Fun Card ID (Optional)

Select Amount *

Add $55 to Fun Card $ 50.00

Add $115 to Fun Card $ 100.00

Add $230 to Fun Card $ 200.00