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 —Please choose an option—Las Vegas Raiders - Las Vegas, NV - 4 Nights - Trip #1 - Sep. 22 – 26 - $1,649.00Las Vegas Raiders - Las Vegas, NV - 4 Nights - Trip #1 - Sep. 22 – 26 - $1,259.00 with no ticketsHouston Texans - Houston, TX - 3 Nights - Trip #2 - Sep. 29 - Oct. 2 - $1,025.00Los Angeles Rams - Los Angeles, CA - 4 Nights - Trip #3 - Oct. 20 - 24 - $1,499.00 Rental Car (type of car) —Please choose an option—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: