2017 Season Pass Application Welcome, Season Passholder! You are just a few short steps away from a summer filled with fun and sunshine. Please fill out the following information and mail this form with your method of payment to 6201 Kellogg Avenue Cincinnati, OH 45230. Your pass will be available for pick up beginning May 13th. To receive important information about your season pass throughout the summer, please be sure to include your email address below. If you have any questions, give us a call at (513) 232-8230. See you soon! SEASON PASS PRICING (valid through 5/15/17) PLATINUM ADULT (Ages 8+) $129.90 ADULT (Ages 8+) $99.95 PLATINUM JUNIOR (Ages 2-7) $74.90 JUNIOR (Ages 2-7) $44.95 PLATINUM SENIOR (Ages 62+) $114.90 SENIOR (Ages 62+) $84.95 Select Pass Type Platinum Adult Pass Platinum Junior Pass Platinum Senior Pass Adult Season Pass Junior Season Pass Senior Season Pass PASSHOLDER INFORMATION Name_________________________________________________________D.O.B.____________________ Address________________________________________________________________________________ City_________________________________ State____________ Zip___________ Phone(______)_________-_____________ Email_______________________________________________ If renewing 2016 pass, please add pass number below. (Located on back of season pass) 2016 Pass Number _______________________________________________________ BILLING INFORMATION CARDHOLDER ____________________________________________________________________ PHONE (________) ____________- ___________________ Credit Card _________ _________ _________ _________ Exp. ______/______ Auth. __________________________________________________________________________________ For a full listing of benefits, special events, black out days and operating hours visit coneyislandpark.com
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