2015 SEASON MEMBERSHIP RENEWAL
2015 SEASON MEMBERSHIP RENEWAL SALES AND PAYMENT FORM FILL IN YOUR DETAILS Membership ID.............................................. ........ Current Seat #.......................................................... Personal Details First Name............................................................. Last Name.................................................................. D.O.B............................................................. .............. Gender (for demographic purposes only) M / F Contact Details Postal Address.......................................................................................................................................... .................................................................................................................................................................. Phone Number...................................................... Email Address............................................................ CHOOSE YOUR MEMBERSHIP – Simply select your choice of membership option on the following pages. Select your optional car park pass. Fill in the payment details below. Payment Details Cheque – please make cheques payable to Waikato Rugby Union with your name, membership ID and phone number on the back. Cash/Eftpos – can be taken at the WRU Offices, Level 3, Waikato Stadium Debit Success – Instalments spread over 6 months from either a bank account of credit card. Please fill out the Direct Debit Authority form. Credit Card – For full payment after 1st November 2014 MasterCard / Visa Number..................../..................../...................../.................... Expiry.............../............... Name on Card........................................................ Invoice – will send invoice to pay after 1st November 2014 Get the form to us Waikato Cost Car Pass (optional $50) $ + $ Post – PO Box 9507, Hamilton Fax – 07 8389911 Scan and email: memberships@mooloo,co,nz TOTAL = $ ULTIMATE MOOLOO PACK 5 Waikato round robin games at Waikato Stadium MOOLOO FAN PACK 5 Waikato round robin games at Waikato Stadium MINI MOOLOO FAN PACK Membership for 14yrs & under PLUS All Blacks in Auckland PLUS All Blacks in Auckland RED ZONE RED ZONE RED ZONE COVERED BRIAN PERRY STAND COVERED BRIAN PERRY STAND COVERED BRIAN PERRY STAND ADULT $335 ADULT $179 CHILD $335 YELLOW ZONE YELLOW ZONE COVERED WEL NETWORK STAND COVERED WEL NETWORK STAND ADULT $139 CHILD $190 KIDS ZONE KIDS ZONE COVERED WEL NETWORK STAND COVERED WEL NETWORK STAND ADULT $109 CHILD $170 BLACK ZONE BLACK ZONE UNCOVERED BRIAN PERRY STAND UNCOVERED BRIAN PERRY STAND ADULT $115 CHILD $150 UNCOVERED BRIAN PERRY STAND FAN ZONE FAN ZONE ADULT $225 UNCOVERED WEL NETWORK STAND UNCOVERED WEL NETWORK STAND ADULT $99 CHILD $120 GOAL LINE GOAL LINE UNCOVERED SEATING/NORTH STAND UNCOVERED SEATING/NORTH STAND ADULT $85 CHILD $95 GREEN ZONE GREEN ZONE UNCOVERED EMBANKMENT SEATING UNCOVERED EMBANKMENT SEATING ADULT $75 CHILD $85 YELLOW ZONE COVERED WEL NETWORK STAND ADULT $255 KIDS ZONE COVERED WEL NETWORK STAND ADULT $195 BLACK ZONE FAN ZONE UNCOVERED WEL NETWORK STAND ADULT $185 Children are 14 years and under at time of purchase ( ID may be requested so please have available on entry at gate ) Please enter quantity required
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