Activity Pass Card Order Form

Name

This address will receive a confirmation email

Address

Phone

Please choose one option

I will pick up at the Armory Youth Project I would like it mailed to the above address I would like it mailed to a different address.

Please list first and last name(s) that should be written on Activity Pass Card(s) (if multiple types of cards are puchased, please specify what name goes with which Activity Pass Card.

Activity Pass Card Selection:

Qty 11-time Activity Pass Card ($50 ea) for $5 activities (ie: exercise class, pickleball, etc.)

Qty 24-time Activity Pass Card ($100 ea) for $5 activitities (ie: exercise class, pickleball, etc.)

Payment (either in person cash/Check or online Credit Card)

Payment will be:

when I pick up (cash/check) Online (credit card)

Enter amount for Credit Card payment. (0 for cash/check)

Is this for a gift?

Yes No

If this is for a gift to be sent to recipient, fill out address/note info.

Address for Gift to be sent:

Add a note to go with your gift of an Activity Pass Card.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please fill out this form to purchase an Activity Pass good towards AYP $5 community classes/activities

The Activity Pass will have boxes worth $5 each when pass is used, the date will be put in one box (or two if going to two exercise classes)

Purchasing an Activity Pass Card saves you money.

Purchasing multiple cards? Please include first and last name that should be put on the Pass Cards.

Purchasing as a gift to be sent directly to recipient? Please fill out the additional information needed to be put on the note that will be sent with the Pass Card, exactly how you want it worded.

Thank you!

Activity Pass Card Order Form

Description

Please Fix the Following