download your half-price ticket form here

WEST HAM UNITED
HALF PRICE FIXTURE APPLICATION
v Swansea
Sunday 7 December 2014, 1.30pm
All fixtures, dates and times are subject to change
PLEASE COMPLETE THIS FORM BY PRINTING IN CAPITAL LETTERS & RETURN TO:
WEST HAM UNITED TICKET OFFICE, PO BOX 6731, LONDON, E13 9RA.
To guarantee your application is received we recommend that applications are sent using recorded delivery.
The Ticket Office will not be responsible for postal applications and faxes not received/processed.
LEAD CLIENT’S NAME:
CLIENT REF NO:
ADDRESS:
DAYTIME TEL NO:
MOBILE NO:
EMAIL:
Adult O65’s Yg-Adt Junior
NAME 1:
ADDRESS:
CLIENT
REF NO.
DOB:
TEL NO:
POSTCODE:
Adult O65’s Yg-Adt Junior
NAME 2:
ADDRESS:
CLIENT
REF NO.
DOB:
TEL NO:
POSTCODE:
Adult O65’s Yg-Adt Junior
NAME 3:
ADDRESS:
CLIENT
REF NO.
DOB:
TEL NO:
POSTCODE:
Adult O65’s Yg-Adt Junior
NAME 4:
ADDRESS:
CLIENT
REF NO.
DOB:
TEL NO:
POSTCODE:
PLEASE TICK YOUR
PREFERRED STAND
FOR YOUR SEATS*:
ALPARI STAND UPPER
ALPARI STAND LOWER TIER
EAST STAND UPPER
EAST STAND LOWER TIER
BOBBY MOORE STAND UPPER
BOBBY MOORE STAND LOWER TIER
SIR TREVOR BROOKING UPPER (FAMILY STAND ONLY)
SIR TREVOR BROOKING LOWER TIER
FOR ALPARI AND EAST STANDS PLEASE TICK IF YOU HAVE A PRICE BAND PREFERENCE:
CREDIT CARD:
MASTERCARD
VISA
BAND 1
SWITCH
BAND 2
BAND 3
BAND 4
DELTA
CARD NUMBER:
CARD HOLDERS NAME:
VALID FROM:
TOTAL TICKETS: EXPIRE:
@ £
3 DIGIT SECURITY NO:
(LAST 3 NUMBERS ON THE REVERSE OF YOUR CARD)
+ £1.50 BOOKING FEE PER TICKET = £
SIGNATURE:
Please note fixtures are subject to change
*If selected area is unavailable the next price band will automatically be allocated

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