UEFA Champions League – Second Qualifying Round / First Leg

The New Saints FC v Legia Warsaw

Glyndwr University Racecourse Stadium , Wrexham

Wednesday 17 July 2013 / Kick off 7.00pm

 

                                                                                                Number                                                Total

Ticket Type Requested                                                   Tickets

The New Saints FC Supporter                                                                     @ £20                 

 

Legia Warsaw FC Supporter                                                @ £20                 

 

 

Full Name: …………………………………………………………………………………………………………………………………………..

 

Address: …………………………………………………………………………………………………………………………………………….

 

Post Code: …………………………………………………………………………………………………………………………………………..

 

Mobile Number: …………………………………………………………………………………………………………………………………                                                                          

E mail address: …………………………………………………………………………………………………………………………………..

 

Method of Payment:        Credit or Debit Card / Cheque / Postal Order / Cash

(Delete as appropriate)

 

Please do not send cash by post. Cheques and Postal Orders to be made payable to

The New Saints FC Limited

Please ensure cheque guarantee card is entered on the back of the cheque

 

Card Details

Card Type:                                         VISA / MASTERCARD / MAESTRO

(Delete as appropriate)

 

Please note American Express or Electron cannot be accepted

 

Number:

 

Valid From:  /                        Expiry Date:   /

 

Issue Number (if applicable):   Security Number (last 3 digits on back of card):

Please complete and return to:

 UEFA Champions League Tickets Office

The New Saints FC, The Venue, Park Hall, Oswestry, Shropshire SY11 4AS

or Fax 01691 659553

 or email info@tnsfc.co.uk

…………………………………………………………………………………………

For office use only

 

Ticket number (s)

 

Attach a duplicate till receipt and credit card slip to the form

 

 

Staff signature……………………………………