Moseley Rugby Club

BIRMINGHAMMOSELEYRUGBY CLUB

TICKET APPLICATION – 2017 RBS SIX NATIONS CHAMPIONSHIP

England v France England v Italy England v Scotland

Saturday 4 February Sunday 26 February Saturday 11 March

Kick off 4.50pm Kick off 3pm Kick off 4pm

Price Quantity Value Price Quantity Value Price Quantity Value

£105……………………. £78……………………… £95……………………...

£ 96……………………. £70……………………... £86……………………..

£ 88……………………. £63……………………… £76……………………..

£ 79……………………. £55……………………… £66……………………...

£ 65……………………. £48……………………… £59……………………...

£ 41……………………. £37……………………… £41……………………...

Total £…….. Total £……. Total £…….

Add £7.50 per match (see note below) £…………….

Total enclosed £…………….

I will accept any price/a single ticket/separate tickets. (Please delete as appropriate)

(Flexibility is essential so please apply for the highest price you wish to pay.)

There is an administration charge of £7.50 per match applied for. Please add this to the total value of your application.

Cheques should be made payable to ‘Birmingham Moseley Rugby Ltd.’ No cash or card payments.

No staples, please!

Ticket applications, with your cheque and TWO first class stamped, self addressed, DL sized (22cm x 11cm) envelopes should be returned by 30 September2016 to

Mary Bucknall, 10 Fitters Mill Close, Edgbaston, Birmingham B5 7QB

NAME……………………………………………….…..TEL DAY………………………..TEL EVE………………………….

ADDRESS………………………………………………………………………………………………………………………..

………………………………………………………POST CODE……………………email………………………………..

Applicants must be paid up season ticket holders for the 2016-2017 season.

The reverse of this form must be read and signed by the applicant.

Unsigned and late forms will not be accepted.

……………………………………………………………………………………………………………………………………

FOR OFFICE USE

NUMBER……….DATE……………AMOUNT……………CHEQUE DETAILS………………………………………………

Tickets for International Matches

All tickets ordered and supplied are subject to RFU terms and conditions.

No member may sell or dispose of tickets to anyone, if not required for the member’s personal use.

Tickets may not be used as raffle/draw/competition prizes.

If you are allocated tickets the club is entitled to know who accompanies you to the game and to request the tickets back after the match.

The club keeps a record of all tickets and recipients. Details may be requested by the RFU for up to 12 months after a match.

Checks are carried out at all International matches.

If any tickets allocated to Birmingham Moseley are discovered on the black market or used by unauthorised persons the RFU may sanction the member and/or the club, which may lose part or the whole of its allocation for future matches.

I (please print name)………………………………………….confirm that I have read and understood the above.

Any tickets supplied to me are for my personal use only.

I will keep any tickets after the match.

I will occupy one seat and will, if requested, supply the names and addresses of other occupants.

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

Please note that we have been advised by the RFU Ticket Office that photographs of tickets must not be placed on social media sites. This has recently resulted in tickets being copied and advertised illegally by third parties, resulting in possible sanctions on the clubs involved.

The Club will apply for tickets for the 6 Nations away Internationals. Any allocation is likely to be very small.

Prices will not be known until December.

Please express your interest with a tick.

Wales v England Saturday 11 February…………..

Ireland v England Saturday 18 March……………..

If necessary a ballot will be held.

You will be informed as soon as possible.