Pittsburgh Steelers Reservation Form For Pittsburgh Steelers trip information please be sure to read this first. Your Name (as it appears on ID; required) Your Birthdate (required) Your Roommates Name Your Roommates Birthdate Street Address City State Zip Phone Number (smartphone to receive tickets) Phone Number (home) Phone Number (work) Your Email (required) Trip Option ---Philadelphia Eagles - Philadelphia, PA - 2 Nights - Trip #1 - Oct. 29th – 31st - $659Miami Dolphins - Miami, FL - 4 Nights - Trip #2 - Oct. 21st – 25th - $1,379Miami Dolphins - Miami, FL - 4 Nights - Trip #2 Club Level Seats - SOLD OUTCarolina Panthers - Charlotte, NC - 2 Nights - Trip #3 - Dec. 17th – 19th - $895 Rental Car (type of car) ---PremiumFull (4-Door)EconomySUV Trip cancellation? Please send me information on trip cancellation insurance. Please type in the four letters and/or numbers shown above: