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: [email protected],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