BALLYMENA R.F.C.

APPLICATION FOR AWAY 6-NATIONS INTERNATIONAL TICKETS (2016 – 17)

Below are details ofthis season's 6-NationsAWAYInternational Matches. Application forms will not be sent out to members. Please download and print this form, indicate, in the spaces below, the tickets you wish to order, and IMMEDIATELY return the completed tear-off portion,together with your appropriate payment. (Cheques should be made payable to Ballymena RFC)

Strict closing date:October 10th 2016

Telephone Orders, Orders without Payment, or Late Orderswill not be accepted. International tickets for this season’s 6-Nations gameswill be issued only to paid-upclubmembers, andmostly on a "first come - first served" basis, subject to a maximum of two tickets per game per applicant. Tickets should be collected, but on request, they may be sent out by post,at the cost and risk of the purchaser. Please add 60p per game if postage is required. Applicants may check if they have been allocated tickets. International tickets are not transferable, and must not, under any circumstances, be re-sold by the applicant, without the prior permission ofBallymena RFC. The penalty for re-selling tickets for financial gain, may be prosecution by IRFU, leading to a severe fine, and the certain removal of future allocation.

** I.R.F.U. (Ulster Branch) imposesa levy per ticket to cover their administrative costs. This is included in the prices quoted below.

Feb. 4th. 2017 Scotland v. Ireland£87, £64, £42

Feb. 11th. 2017 Italyv. Ireland£84, £70, £60, £41, £31

Mar. 10th. 2017 Wales v. Ireland£87, £62

------tear off (Keep a copy of your order)

Game No. of Tickets & Price Total Cost

Scotland v. Ireland ______

Italy v. Ireland ______

Wales v. Ireland ______

Postage ______

Total due ______

Name: ______Total paymentenclosed:£______

Address: ______Post Code: ______Tel. No:______

e-mail:______Collection or Postage: ______Date of Application:______

Return tear-off portion, with payment,to:-- Guy McCullough, 2 Harberton Park, Ballymena. BT43 6NF