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SHEFFIELD STEELERS ICE HOCKEY CLUB Half Season Ticket Application Form 2011/12 For o ce use only Season Ticket No. ST 1st Applicant Personal Details Primary Contact Title Male Female First Name Date of Birth - If you are under 18 this form must be signed by your Parent/Guardian Last Name Address Postcode Mobile Home Tel Email If you are a New Applicant please indicate your preferred choice Do you have any special needs which would require assistance Yes No If Yes please state them ADDITIONAL CARDHOLDERS First Last SEASON TICKET INFORMATION PAYMENT TO BE MADE IN FULL Ticket Type To End of Season Qty by 31/03/11 Adult Concession Child Terms Conditions 2. Payments by Debit Card are subjectt o a 1 charge fee while Credit Card payments are subjectt o a 3 charge fee 3. Cheques should be made payable to She eld Steelers 4. Whilst requests will be met wherever possible allocation of Season Tickets will be solely at the discretion of the Club Family 2 2 Child Under 16 as at 31st August 2011 Family Ticket 2 Adults either 3 2 or 1 Children Concession OAP Over 60 as at 31st August 2011 Registered Disabled Full-Time Students proof of concession will be required even if previously provided Season Tickets will be transferable as long as they are used by someone in the same category There will be a 20 replacement fee for any lost/stolen cards 10. Please complete and return to She eld Steelers Motorpoint Arena Broughton Lane She eld S9 2DF or email to shaun she eldsteelers. co. uk In applying for a Season Ticket you recognise and accept that She eld Steelers have the right to Total Applicant Signature Date Approved Signature. Payments by Debit Card are subjectt o a 1 charge fee while Credit Card payments are subjectt o a 3 charge fee 3. Cheques should be made payable to She eld Steelers 4. Whilst requests will be met wherever possible allocation of Season Tickets will be solely at the discretion of the Club Family 2 2 Child Under 16 as at 31st August 2011 Family Ticket 2 Adults either 3 2 or 1 Children Concession OAP Over 60 as at 31st August 2011 Registered Disabled Full-Time Students proof of concession will be required even if previously provided Season Tickets will be transferable as long as they are used by someone in the same category There will be a 20 replacement fee for any lost/stolen cards 10. Cheques should be made payable to She eld Steelers 4. Whilst requests will be met wherever possible allocation of Season Tickets will be solely at the discretion of the Club Family 2 2 Child Under 16 as at 31st August 2011 Family Ticket 2 Adults either 3 2 or 1 Children Concession OAP Over 60 as at 31st August 2011 Registered Disabled Full-Time Students proof of concession will be required even if previously provided Season Tickets will be transferable as long as they are used by someone in the same category There will be a 20 replacement fee for any lost/stolen cards 10. Please complete and return to She eld Steelers Motorpoint Arena Broughton Lane She eld S9 2DF or email to shaun she eldsteelers.

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