6 Nations Internationals TWICKENHAM Application Form - 2018 6 Nations Internationals TWICKENHAM Only the following may apply: Life Members, and Fully Paid-up Saltire Stand,Tartan Terrace and Exile (including Family) Members Junior Individual Members are not eligible Do not over-order tickets as admin fees are not returned for unsuccessful applicants. England Wales England Ireland vs vs Pay via Cheque Sunday 10th February KO: 4.45pm Type Tickets Req. Total Cost Saturday 17th March KO: 2.45pm Pay via Debit / Credit Card Type Tickets Req. Total Cost Pay via Bank Transfer * Preferred Category 1 - £85 Category 1 - £85 Category 2 - £85 Category 2 - £85 * Payment Details on Next Page Category 3 - £65 Category 3 - £65 Category 4 - £45 Category 4 - £45 Please fill in your personal details below in BLOCK CAPITALS. Please ensure you have enclosed the following with your application. NAME: A cheque made payable to LSFC Post to: Doug Cowie International Ticket Officer London Scottish FC 290 St Margarets Road Twickenham Middlesex TW1 1PR Post with the correct postage stamps, otherwise your application will be delayed and additional admin charges may be applied A SAE for each game applied for (To avoid any delay in receiving your tickets) You have signed and dated the above declaration regard- ing the issue and use of tickets. ADDRESS: POSTCODE: Yours Aye Doug Cowie International Ticket Officer Tel No: 07774 743145 Email: doug.cowie@londonscottish.com 28th June 2017 HOME TEL. NO. WORK TEL. NO. EMAIL: NB - You must read the terms and conditions overleaf and sign the declaration

6 Nations - England AWAY MATCHES Application Form - 2018 6 Nations - England AWAY MATCHES Only the following may apply: Life Members, and Fully Paid-up Saltire Stand,Tartan Terrace and Exile (including Family) Members Junior Individual Members are not eligiblevv Do not over-order tickets as admin fees are not returned for unsuccessful applicants. Italy England Scotland England France England vs vs vs Sunday 4th February KO: 3.00pm (local) Type Tickets Req. Total Cost Saturday 24th February KO: 4.45pm Saturday 10th March KO: 4.45pm Type Tickets Req. Total Cost Pay via Cheque Type Tickets Req. Total Cost Pay via Direct Debit £65.50 £75 £83.50 £55.50 £55 £65 £37.00 Pay via Bank Transfer £51 £28.00 Please fill in your personal details below in BLOCK CAPITALS. Summary Tickets Ordered Total Cost Add admin cost (£5 per ticket) Grand Total Payment = NAME: ADDRESS: POSTCODE: TELEPHONE: EMAIL: NB - You must read the terms and conditions and sign the declaration

Closing Date for Applications – 1st December 2017 Please put an ‘X’ in your selected option I have paid by bank transfer to… Please debit my direct debit card (free)… Please add 2% and debit my credit card A Cheque made payable to London Scottish FC NB this is the preferred option Number: Number: Post to: Doug Cowie International Ticket Officer London Scottish FC 290 St Margarets Road Twickenham Middlesex TW1 1PR Post with the correct postage stamps, otherwise your application will be delayed and additional admin charges will be applied Sort Code: 16-10-27 Account No: 11807192 Expiry Date: Expiry Date: 3-digit security code: 3-digit security code: Please ensure you have enclosed the following with your application: Your cheque (if appropriate) made payable to LSFC A SAE for each game applied for (to avoid any delay in receiving your tickets) You have signed and dated the declaration regarding the issue and use of tickets.

6 Nations Terms and Conditions Application Form - 2018 Distribution of tickets will be determined by ballot. Tickets must only be used by members, their family or bona fide guest(s). Please keep your tickets safe and help the Club. Tickets should be retained for a month following any game. Tickets provided by London Scottish must not be sold, or advertised for sale, in any shape or form or by any mechanism. Do not advertise or re-sell tickets on eBay or any other website, Do not post pictures of tickets on social media sites as fraudsters have been known to copy these pictures and advertise tickets for sale Do not re-sell tickets even at face value at the ground immediately before matches, not even to people who appear to be genuine rugby fans. These people are frequently runners for touts. If you cannot use the tickets they must be returned to London Scottish. Tickets will be issued solely on the basis that they are used strictly in accordance with the relevant guidelines of the RFU and/or the SRU. These are available on re- quest. Failure to adhere to the RFU and/or the SRU guidelines may result in London Scottish losing its ticketing allocation and being fined. Therefore, any member found breaching these guidelines: May be expelled from the Club in the absence of a convincing explanation to be determined by a Disciplinary Panel. May face disciplinary proceedings and possible legal action from the RFU and/or the SRU. I confirm I have read and agree to the above conditions for use of these tickets, and that they would be for personal/family/guest(s) use. Signed: Dated: