Amersham & Chiltern Rugby Football Club

Hampstead RFC – Home 6 Nations 2018 England v Wales– 10th February 2018 K.O 16:45 England v Ireland – 17th March 2018 K.O. 14:45

Robert Phasey 40 Chesterfield Gardens London N4 1LP

Email: [email protected]

Club members are invited to apply for tickets and if applications exceed the number of tickets allocated a ballot will be held.

Please complete and return to the address above no later than 12th January 2018 with a cheque for the amount (£) applied for made payable to Hampstead RFC.

Payment only accepted by cheque in advance of ballot. Successful applicant’s cheques will be cashed and a refund will be made to the applicant it they do not receive their full application.

Applications for tickets can be made with this form and cheque by post only

It is likely a maximum of 2 - 4 tickets will be available per match subject to the numbers applying. Cheques for tickets of 2 make it easier to avoid refunds e.g. If you wish to apply for 4 tickets please enclose 1 cheque for £145 (includes admin fee) and 1 for £140.

Ticket prices are £70 each plus a club admin fee of £5.

Please complete and return Match Number of Tickets Indicate 1 preferred match Value (£) England v Wales 10th Feb.

England v Ireland 17th Mar.

Admin Fee £5.00 Total

Please note that any tickets issued must not be sold and any tickets that cannot be used must be notified to Robert Phasey to pass on to an unsuccessful club applicant.

Please indicate the type of club member you are: Club Coach or Referee Senior player (men’s 1 – 6, veterans/legends) Hampstead Lady (ladies 1 – 2) Junior parent Ruggerbugs parent Annual and monthly club membership fees will be checked with Hampstead Old Boy/Girl (past men’s or ladies player) the Club Treasurer before processing this application.

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