NAME ___________________________________________________ ADDRESS ________________________________________________ CITY ______________________STATE______ZIP________________ DAY PH# ___________________ HOME PH#_____________________ FAX # ___________________________________________________METHOD OF PAYMENT: 1) CHECK (Payable to Washington Wizards) *Returned checks subject to $30 fee

2) CREDIT CARD (circle one): AMEX VISA MC DISCCard # ________________________________________________

Exp.Date________

Signature_____________________________________________

(Signature required to process order)

*Orders received within 10 days of the game will be left in WILLCALL under the name: __________________________________ (photo ID required)

-Offer good on this form only. Not available at Verizon Center box office or TicketMaster. All promotions subject to change. No refunds or exchanges.-

*Tickets will be mailed to you or you will be contacted concerning picking your tickets up at “Will Call.” If you have not been contacted concerning an order you have

placed AND it is within 72 hours of your game, please email Alan Fontane at:

jbuxbaum@monumentalsports.com

COMPLETE THIS FORM & FAX TO:

(202) 661-5068ATTN: Jill Buxbaum

OR MAIL TO:WASHINGTON WIZARDS

601 F STREET, NWWASHINGTON, DC 20004

ATTN: Jill Buxbaum

For more information, please call Jill Buxbaum @ (202) 292-1982or email: jbuxbaum@monumentalsports.com

I would like _____ Lower Level tickets @ $55 (reg. $95) = $ _____

I would like _____ Lower Level tickets @ $35 (reg. $75) = $ _____

I would like _____ Upper Level tickets @ $22 (reg. $35) = $ _____

Sub total $______

Total # tickets _______ + $5.00 (service charge)

TOTAL $______

Sub total $______

Total # tickets _______ + $5.00 (service charge)

TOTAL $______

The Washington Wizards Would Like To Welcome

National Alopecia Foundation

Wizards vs. Detroit Pistons

Box Office Use Only:50LL= 5620 38UL= 561930UL= 5619

Tuesday, April 5, 2011 @ 7pm

National Alopecia Night!

Accessible Seating Is Available