2017Autumn Internationals at Twickenham Application Form

England vs. Argentina, England vs. Australia,England vs. Samoa

My preferred requirements for the matches are shown in the tables below.

England v. Argentina 11 November

Adults £100 Jun. £20 Adults £85 Jun £20 Adults £55 Jun £20 Adults £45 Jun £20

Adult / £ / Adult / £ / Adult / £ / Adult
Junior / £ / Junior / £ / Junior / £ / Junior
Total £ / £ / £ / £

England v. Australia 18 November

Adult Prices only for guidance as to preference if more tickets become available on the Ticket Exchange

Cost / £115 / £105 / £95 / £85 / £75 / £65 / £45
Quantity
Total £

England v. Samoa 25 November

Adults £60 Juniors £15 Adults £45 Juniors £15 Adults £35 Juniors £15:

Adult / £ / Adult / £ / Adult
Junior / £ / Junior / £ / Junior
Total £ / £ / £

Grand total £ payable to Edenbridge Rugby Football Club Ltd or transferred to Sort Code 30-92-38 A/c No. 25406960

Applicant: Name………………………………………………………

Address…………………………………………………………………

…………………………………………………………………………

Tel……………………………………………………………………..

E-mail…………………………………………………………………

To be returnedasap but at the latest by Friday 22nd July to: John Martin, Ticket Secretary, Edenbridge Rugby Club,

Little Acre, Swan Lane, Edenbridge, Kent, TN8 6AJ

in an envelope marked “For the Ticket Secretary” or by e-mail to with electronic transfer of funds

I enclose cheque for £…….. payable to Edenbridge Rugby Football Club Ltd / I am transferring the sum of £….…to Sort Code 30-92-38 A/c No 25406960. I am willing/unwilling (del. as appropriate) to accept tickets at pricesother than my preferred selection . My upper ticket price limit is £……..

I accept the RFU restrictions re the onward transmission of tickets and agree not to sell any tickets obtained through the Club on to 3rd parties other than friends or family and to return unwanted tickets to the Ticket Secretary. (N.B. Clubs have been taken off the RFU ticket allocation for unauthorised selling/profiteering.)

Signed…………………………………………………………Date…………..