IF Form– Betfred Super League Grand Final XXII

Please complete this form to secure your tickets in the event that Leeds Rhinos qualify for the Betfred Super League XXII Grand Final 2017 at Old Trafford on Saturday 7th October – kick off 6pm. On qualification for the final, your tickets will be automatically processed for you. Fill in your details below and send this form, complete with your Customer Numbers (located at the bottom of your Membership card) or Rhinos 4 Life Membership number/ Leedsline Agent number to Super League XXII Grand Final 2017 IF Form Applications, Leeds Rhinos Ticket Sales Office, Headingley Carnegie Stadium, St Michael’s Lane, Leeds, LS6 3BR or email your ‘IF’ form to with the subject line “IF Form Application”. We must receive all ‘IF’ form applications prior to 5pm on Thursday 28th September.

Please note no applications will be processed without the relevant numbers mentioned above. If you are ordering for more than one person we will require numbers for all of those people too! Please be aware that for this final it is FOUR tickets per season member, Rhinos 4 Life member and Leedsline agent. Rhinos Supporter Members can also use this form however they will be processed after the Season Members, Rhinos 4 Life members and Leedsline agents ticket requests have been fulfilled.

PLEASE STATE THE NUMBER OF TICKETS REQUIRED……………

primary contact Name ……………………………………………………………………………….

I AM A:

Rhinos 2017 Season Member Rhinos 4 Life Leedsline Agent Rhinos 2017 Supporter Member

Season Member Customer Number/ Rhinos 4 Life Number/ Leedsline Agent Number/ Supporter Member Customer Number:……………………

Address: (tickets will be posted to this address) …………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………….

Postcode: …………………………

Date of Birth: …………………………..

Day time tel: …………………………………………………

Mobile: ………………………………………………………..

Email: …………………………………………………………………………………………………………………………

PLEASE STATE THE OTHER CUSTOMER NUMBERS, RHINOS 4 LIFE, LEEDSLINE AGENT NUMBERS AND THEIR NAMES HERE;

Customer Numbers ………………………../…………………………/………………………/…………………………/……………………/……………….

Names (s) ………………………./…………………………/………………………/…………………………/……………………/………………..

The categories available will be as follows:

CAT 1 / CAT2 / CAT 3 / CAT 4 / CAT 5 / CAT 6
ADULTS / £80 / £65 / £50 / £40 / £30 / £20
CONCESSIONS-
STUDENTS, 65+ & 16 and Under / N/A / N/A / N/A / £30 / £22.50 / £15

Please state your preferred ticket category and whether you require any concessions and juniors- Remember not all categories offer Concessions:

1st choice cat ………. Adults: ………… Concessions: …………

2nd choice cat ………. Adults: ………… Concessions: …………

3rd choice cat ………. Adults: ………… Concessions: …………

Best available tickets will be allocated at the time of processing.

PLEASE NOTE THAT ONCE YOU HAVE SIGNED THIS FORM NO REFUNDS OR CHANGES WILL BE ALLOWED.

Coach travel

Do you require return coach travel for only £16?* (please indicate how many places are required)

…………………………….

(*Travel vouchers are NOT valid)

N.B. Travel will be departing from Elland Road, LS11 0ES, due to the Stadium Redevelopments at Headingley Carnegie Stadium.

method of payment

This form is for credit or debit card payments only. Please do not send cash or cheques

Please tick your preferred payment type – please note there will be a £1.50 booking fee per order.

Visa Credit ……. Visa Debit ...... MasterCard …….(we do not accept AMEX)

Card no. ……………………………………………………………………..

(Long Number across the Front of the Card)

Expiry date: ...... /......

Issue (If applicable) ...... or Valid from (If applicable) ...... /......

CVV Code (last 3 digits from reverse of card): ………..

Cardholder signature: …………………………………………………………………………………….

We will contact you if there are any problems. Once your application is completed we will send your ticket(s) to you in the post to arrive no later than 3 days before the Final.

N.B. IN COMPLETING THIS FORM YOU ARE AGREEING TO PURCHASE THE TICKETS INDICATED TO THE BETFRED SUPER LEAGUE GRAND FINAL 2017 IN THE EVENT OF LEEDS RHINOS’ QUALIFICATION. In the event of a victory in the Semi Finals you will not need to contact us again, we will process your application, debit the relevant amount from your card and post the ticket(s) out to you. If the Semi Final ends in a defeat we will destroy the application form sercurely and no money will be taken from the card. PLEASE NOTE THAT ONCE YOU HAVE SIGNED THIS FORM NO REFUNDS OR CHANGES WILL BE ALLOWED.

For office use only: - Date received: ………………………………………………