Rep of Ireland v Georgia & Gibraltar HOME DUO Package - Aviva Stadium, Dublin
Rep of Ireland v Georgia Tuesday 26th March 2019 and
Rep of Ireland v Gibraltar Monday 10th June 2019
HOME DUO Package - both games at the Aviva Stadium, Dublin

APPLICATION FORM - Full Pre-payment required with application

Please note:

1. Applications are open to current members of the Republic of Ireland Soccer Supporters Club (London) only, and are allocated based on previous activity with the club. Seperate application required per applicant.
2. Your chosen category may not be available. Tickets are not guaranteed and subject to FAI allocation.
We may have to offer you a different category at a higher or lower cost.
3. New members are welcome and are asked to complete the membership application form before applying for a ticket.
4. Pre-payment required for this application. Account details are below. Applications will not be processed until the full payment has been received.
5. If you think you are sufficiently in credit to cover then please advise by email to treasurer@rissc.org
6. Deadline for Applications - TBC
7. Please note, if you are a 2018/19 Season Ticket holder then these games are included in your package.

Email address *
Category and Price:
Please select your requirements:
Adult - Cat A £95 (€100)
Adult - Cat B £81 (€85)
Child (under 16) £24 (€25)
Your details:
Surname *
Your answer
First name *
Your answer
Membership No.
If known
Your answer
Phone No.
Daytime number in case we need to contact you
Your answer
Payment instructions:
Payments by UK bank transfer:
Sort Code: 40-11-58
Account Number: 70528765

For payments in Euro (€):
BIC: BOFIIE2D
IBAN: IE07BOFI90003379462047

Paypal details available on request (please email treasurer@rissc.org for details)

Any queries?
If you have any questions or problems, just email rissclondon@hotmail.co.uk
A copy of your responses will be emailed to the address you provided.
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