Application Form

Surname ……………………….. First Name ……………………… Title ……….

Address ………………………………………………………... Postcode………….

E-mail address …………………………………….. Daytime Tel No …………….

Evening Tel No ………………………………. Are you a member? Yes  No 

TICKETS

 

PRICE

QUANTITY

TOTAL

Durham XI v Lashings World XI Adult

£10

 

 

Durham XI v Lashings World XI Junior (U18)

£5

 

 

Durham XI v Lashings World XI Family Ticket

£25

 

 

Durham Dynamos v Glamorgan Dragons Adult

£10

 

 

Durham Dynamos v Glamorgan Dragons Junior (U18)

£5

 

 

Durham Dynamos v Glamorgan Dragons Family Ticket

£25

 

 

Durham Dynamos v Yorkshire Phoenix Adult
£8
   
Durham Dynamos v Yorkshire Phoenix Junior (U18)
£5
   

 

SUB-TOTAL

£

 

TICKET TOTAL

£

PAYMENT DETAILS

I enclose cash/cheque for £……… made payable to Durham County Cricket Club.

I authorise Durham County Cricket Club to debit my Mastercard /Visa / Switchcard*

*delete as applicable

Credit Card Acc. No:                  

Card Expiry Date: ….../…… Issue number (if paying by Switch): ……

Name of cardholder …………………………………………………………………

Address of cardholder (if different from above) …………………………………..

…………………………………………………………………………………………

Signature: ……………………….……………………. Date: …………..………….

Send your completed form to Ticket Department, Durham County Cricket Club, County Ground, Riverside, Chester-le-Street, County Durham, DH3 3QR