Season Ticket Application Form 2015/16

Exeter Chiefs
Season Ticket
2015/16 Season
As a Season Ticket holder not only
will you ensure you don,t miss a
single home match, but you can also
take advantage of a range of other
benefits available to club supporters
Your Season Ticket
Includes home admission to:
11 Aviva Premiership matches
3 European Cup Pool matches
2 home games in the Anglo-Welsh Cup or additional
challenge matches should the Anglo-Welsh Cup not go ahead
>
>
>
Aviva
Premiership
friendlies
(subject to confirmation)
> Any pre-season
Premiership A league matches
> All Academy & Aviva&
Cupmatches
Rugby
of the above
> Priority booking for progression
Right on your
- discount on all bar
> Season Ticket Bar Charge Card
doorstep
beverages when purchased with this card
competitions
Apply now and
pay in monthly
instalments by
Direct Debit
If you submit your season ticket
application you can take advantage
of our monthly direct debit payment
scheme with the final payment being
taken in November
If you wish to take advantage of
this scheme, please complete the
direct debit mandate along with your
application on the second and third
pages of this document
(these matches are not included in the Season Ticket package)
(on match days only)
MAIN CHIEFS SPONSOR
Season Ticket Application
2015-2016 Season
Payment details
Please indicate the ticket/s you wish to apply for in the table (right), complete
the form below and return it to:
Exeter Rugby Club, Sandy Park Stadium, Sandy Park Way, Exeter, EX2 7NN
Incomplete applications will not be processed.
Please complete one application form for each person.
I wish to apply for Exeter Chiefs Season Ticket/s as indicated overleaf
Signature
Date DD/MM/YY
SEASON
TICKET
PRICE*
AT THE
GATE
PRICE**
n/a
n/a
n/a
£610
£850
£310
n/a
n/a
n/a
£768
n/a
n/a
£495
£290
£230
£345
£430
£550
£210
£173
£640
£353
£288
£432
£608
£800
£240
£192
£420
£530
£260
£162
£390
£495
£240
£150
£520
£704
£320
£200
£480
£640
£288
£176
£380
£230
£130
£335
£205
£120
£472
£288
£168
£416
£144
£256
COST
Centre
C to G
West Grandstand
Personal details Please complete in block capitals
Company......................................................................Job Title.............................................................................
Wings
A,B,H,I
Title.............Surname...............................................Forename..............................................................................
Address......................................................................................................................................................................
Additional name/s for Family Season Ticket
1 Name:......................................................................................................date of birth........................................
Centre
Contact Tel: . ................................................ email:.................................................................................................
SW Comms Stand
Wings
......................................Postcode........................................................Date of birth:............................................
2 Name:......................................................................................................date of birth........................................
Cash (please do not post)
Cheque (Made payable to Exeter Rugby Club ST ACC)
Switch/Maestro
North/
South
Visa
Centre
Direct Debit (please complete the mandate on page 3)
MasterCard
Adult
Student
Child*
Adult
Family (1 Adult+1 Child)
Family (1 Adult+2 Child)
Student
Child*
East Terrace
Preferred payment method (please tick appropriate)
Credit card (Please tick appropriate box)
Adult
Family (1 Adult + 1 Child)
Child*
Adult
Family (1 Adult + 1 Child)
Child*
Credit card payment details
Credit/Debit card No.
Adult
Family (1 Adult+1 Child)
Student
Child*
Adult
Family (1 Adult+1 Child)
Student
Child*
Card issue date
Expiry date
(Switch /Maestro)
Security code
Card holders signature
A&D
Sections
Issue No
B&C
Sections
North Terrace
Adult
Student
Child*
Adult
Student
Child*
(last 3 numbers on signature strip)
Sub Total
Do not detach this section. The whole form should be returned to ERC who will forward it to the appropriate bank.
Credit/Debit card add £5 handling fee
TOTAL
Make a donation to
the Exeter Foundation
Registered Charity Number 1143121
You can help the Exeter Foundation support local charities by simply indicating the
donation you wish to make on the attached form
Please complete the attached form if you wish to make a donation
*Child = aged 16 years or under on 31st May, 2016
Please fill in the whole form using a ball point pen and send to:
Exeter Rugby Club Ltd,
Sandy Park Stadium,
Sandy Park Way,
Exeter
EX2 7NN
Instruction to your
bank or building society
to pay by Direct Debit
Service user number
4
4
1
3
1
2
Reference
Name(s) of account holder(s)
Please pay Exeter Rugby Club Ltd. Direct Debits from the account
detailed in this Instruction subject to the safeguards assured by
Bank/building society account number
the Direct Debit Guarantee. I understand that this Instruction
may remain with Exeter Rugby Club Ltd. and, if so, details will be
passed electronically to my bank/building society.
Branch sort code
Name and full postal address of your bank or building society
Bank/building society
To: The Manager
Address
Signature(s)
Postcode
Date
Banks and building societies may not accept Direct Debit Instructions for some types of account
This guarantee should be detached and retained by the payer.
The Direct Debit Guarantee
• This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits
• If there are any changes to the amount, date or frequency of your Direct Debit, Exeter Rugby Club Ltd. will notify you 10 working days in advance of your
account being debited or as otherwise agreed. If you request Exeter Rugby Club Ltd. to collect a payment, confirmation of the amount and date will be
given to you at the time of the request
• If an error is made in the payment of your Direct Debit, by Exeter Rugby Club Ltd. or your bank or building society you are entitled to a full and immediate
refund of the amount paid from your bank or building society
– If you receive a refund you are not entitled to, you must pay it back when Exeter Rugby Club Ltd. asks you to
• You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.