INTERNATIONAL TICKET ORDER FORM
SIX NATIONS INTERNATIONALS - 2013
Member’s Name ............................................................................................................
Address........................................................................................................................................ Post Code..............................
Phone Number........................................ Email Address.............................................................................................................
Ticket Prices are not yet announced but will include £1 administration fee
Members are required to send a deposit of £20 per ticket, which will be refunded if unsuccessful in receiving a
ticket.
Date
Sat 2nd Feb
2013 ko
1.30pm
Sat 16th Mar
2013 ko 5pm
Opponents
No of Tickets
(Max 1 per member)
Price Preferred
Ireland
(Prices – to be confirmed)
Cheap/Expensive
England
(Prices - to be confirmed)
Cheap/Expensive
Total Deposit
GRAND TOTAL
If unsuccessful in your original application, please indicate in the boxes below if you are interested in being offered tickets at
different prices or for different matches.
Other Matches
Other Tickets
Please make cheques payable to “Clwb Rygbi Dinbych” and send to:Tom Williams
6 Llys Tudur
Myddleton Park
DENBIGH
LL16 4AL
[email protected]
01745 812875
07733 396388
Declaration:
I declare that any tickets bought by me from Clwb Rygbi Dinbych will not be resold above their face value by any means.
Signature:...............................................................................................
Date:.............................................................