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URSC Family Membership

2018 - 19

 

Please fill in all fields below:

Family Membership - £30

Family Details

Adult 1

Please enter your First Name.
Please enter your Surname.
Please enter a valid Email Address.
Please enter your Home Telephone Number.
Please enter your Mobile Number.

Adult 2

Please enter your First Name.
Please enter your Surname.
Please enter a valid Email Address.
Please enter your Home Telephone Number.
Please enter your Mobile Number.

Junior 1

Please enter your Junior 1 First Name.
Please enter your Junior 1 Surname.

Junior 2

Junior 3

Junior 4

Junior 5

Junior 6

Add Junior 3

Add Junior 4

Remove Junior 3

Add Junior 5

Remove Junior 4

Add Junior 6

Remove Junior 5

Remove Junior 6

Max Children allowed in family membership = 6

Address Details

Please enter your Address Line 1.
Please enter your Town or City.
Please enter your County / State.
Please enter your Post / Zip Code.

If you do not have a Postcode, please leave a dash ( - ) instead.

Please select your Country.

Please ensure that ALL details are correct.

URSC take no responsibility for incorrect details supplied.
Membership packs will be delivered to the info and address given.

Please tick the box to confirm I have checked all of my family details are correct.

Please tick the box to confirm that You have checked all of your family details are correct.

General Data Protection Regulation Consent

 

I confirm that I have parental responsibility for the children named in this application

- that I have read and understood the URSC Privacy statement

(available at http://ursc.co/?page_id=9278);

- that I consent to the collection, processing and use of the personal information provided in the membership application for the above named Junior member solely for the purposes set out in the URSC privacy statement; and

- I consent to the collection and processing and use of my personal information for the purposes of meeting URSC’s legal obligations to ensure consent is received, recorded and stored from those with parental responsibility for any junior applicants.

Please tick the box to confirm the GDPR Consent and URSC Privacy Policy.

Please tick the box to confirm that you understand the GDPR Consent and the URSC Privacy Policy.

Competition Entries

Please indicate in the boxes if you wish to be included in prize entry draws:

Do you wish to be included in ballots to purchase tickets for

Autumn / Six Nations matches?  (Adults only)

Please tell us if you wish to be included in ballots to purchase tickets for
Autumn / Six Nations matches?
included in ballots to purchase tickets for
Autumn / Six Nations matches?

Do you wish to be included in the prize draw for tickets to the

Autumn / Six Nations matches?  (Adults only)

Please indicate if you wish to be included in the prize draw for tickets to the Autumn / Six Nations matches?
Please indicate if you wish to be included in the prize draw for tickets to the Autumn / Six Nations matches?

Do you wish to receive emails from URSC about events and

member offers?

Please select an answer for receiving emails from the URSC about events and member offers?
Please select an answer for receiving emails from the URSC about events and member offers?

Do you wish your contact details to be provided to local

companies participating in our membership discount scheme?

Please tell us if you wish your contact details to be provided to local
companies participating in our membership discount scheme?
Please tell us if you wish your contact details to be provided to local
companies participating in our membership discount scheme?

Payment

Please indicate on which type of payment you will be paying by.

Please choose a Payment Method.
Please choose a Payment Method.
Please choose a Payment Method.

Membership fee should be returned to the URSC Info Point

on match nights.

Cheques can be made payable to Ulster Rugby Supporters Club
and posted to:

 

URSC c/o Kingspan Stadium,

85 Ravenhill Park,

Belfast, BT6 0DG

You will be Re-directed to the PayPal payment screen and

returned back after payment has been successful.

 


PLEASE NOTE:

 

You do not need to have a PayPal account to pay this way.

You can pay by VISA or Mastercard using Paypal.