WORLD CUP MATCH TICKETS

TICKET application Form (MATCH TICKET)
Please fill this application form in BLOCK CAPITALS using black ink, placing each character clearly within each space provided.
The maximum number of tickets you can apply for are 4 tickets per match and for up to a maximum of 7 matches.
TICKET DETA ILS
MATCHES NUMBER OF TICKETS
No. TEAMS VENUE DATE CAT 1 CAT 2 CAT 3 WC
1 South Africa v A2 SOCCER CITY 11.06
2 A3 v A4 GREEN POINT 11.06
3 B1 v B2 ELLIS PARK 12.06
4 B3 v B4 NELSON MANDELA BAY 12.06
5 C1 v C2 ROYAL BAFOKENG 12.06
6 C3 v C4 PETER MoKaBA 13.06
7 D1 v D2 DURBAN 13.06
8 D3 v D4 LOFTUS VERSFELD 13.06
9 E1 v E2 SOCCER CITY 14.06
10 E3 v E4 FREE STATE 14.06
11 F1 v F2 GREEN POINT 14.06
12 F3 v F4 ROYAL BAFOKENG 15.06
13 G3 v G4 NELSON MANDELA BAY 15.06
14 G1 v G2 ELLIS PARK 15.06
15 H3 v H4 MBOMBELA 16.06
16 H1 v H2 DURBAN 16.06
17 South Africa v A3 LOFTUS VERSFELD 16.06
18 A4 v A2 PETER MoKaBA 17.06
19 B4 v B2 FREE STATE 17.06
20 B1 v B3 SOCCER CITY 17.06
21 D1 v D3 NELSON MANDELA BAY 18.06
22 C4 v C2 ELLIS PARK 18.06
23 C1 v C3 GREEN POINT 18.06
24 D4 v D2 ROYAL BAFOKENG 19.06
25 E1 v E3 DURBAN 19.06
26 E4 v E2 LOFTUS VERSFELD 19.06
27 F4 v F2 FREE STATE 20.06
28 F1 v F3 MBOMBELA 20.06
29 G1 v G3 SOCCER CITY 20.06
30 G4 v G2 GREEN POINT 21.06
31 H4 v H2 NELSON MANDELA BAY 21.06
32 H1 v H3 ELLIS PARK 21.06
33 A2 v A3 ROYAL BAFOKENG 22.06
34 A4 v South Africa FREE STATE 22.06
35 B2 v B3 DURBAN 22.06
36 B4 v B1 PETER MoKaBA 22.06
37 C4 v C1 NELSON MANDELA BAY 23.06
TICKET DETA ILS
MATCHES NUMBER OF TICKETS
No. TEAMS VENUE DATE CAT 1 CAT 2 CAT 3 WC
38 C2 v C3 LOFTUS VERSFELD 23.06
39 D4 v D1 SOCCER CITY 23.06
40 D2 v D3 MBOMBELA 23.06
41 F4 v F1 ELLIS PARK 24.06
42 F2 v F3 PETER MoKaBA 24.06
43 E2 v E3 ROYAL BAFOKENG 24.06
44 E4 v E1 GREEN POINT 24.06
45 G4 v G1 DURBAN 25.06
46 G2 v G3 MBOMBELA 25.06
47 H4 v H1 LOFTUS VERSFELD 25.06
48 H2 v H3 FREE STATE 25.06
49 R16 - 1A v 2B NELSON MANDELA BAY 26.06
50 R16 - 1C v 2D ROYAL BAFOKENG 26.06
51 R16 - 1D v 2C FREE STATE 27.06
52 R16 - 1B v 2A SOCCER CITY 27.06
53 R16 - 1E v 2F DURBAN 28.06
54 R16 - 1G v 2H ELLIS PARK 28.06
55 R16 - 1F v 2E LOFTUS VERSFELD 29.06
56 R16 - 1H v 2G GREEN POINT 29.06
57 QF - W53 v W54 NELSON MANDELA BAY 02.07
58 QF - W49 v W50 SOCCER CITY 02.07
59 QF - W52 v W51 GREEN POINT 03.07
60 QF - W55 v W56 ELLIS PARK 03.07
61 SF - W58 v W57 GREEN POINT 06.07
62 SF - W59 v W60 DURBAN 07.07
63 3RD - RUp61 v RUp62 NELSON MANDELA BAY 10.07
64 FINAL - W61 v W62 SOCCER CITY 11.07
MATCHES CAT 1 CAT 2 CAT 3 WHEEL
CHAIR
All prices are in US$ and inclusive of VAT *
1 450 300 200 70
2 to 48 160 120 80 20
49 to 56 200 150 100 50
57 to 60 300 200 150 75
61 & 62 600 400 250 100
63 300 200 150 75
64 900 600 400 150
If the Ticket(s) in your selected
category are no longer
available, will you accept a
lower category? If yes, then
please tick the box.
Each Wheelchair Ticket that
is successfully confirmed will
include an additional Ticket for
the companion who will
accompany you at no extra cost.
* At the prevailing rate in January 2009
ACCE PTANCE OF TERMS & CONDITIONS
“By completing and submitting this Ticket Application Form, you are irrevocably agreeing and undertaking to comply with the 2010 FIFA World Cup South AfricaTM General Ticket Terms and
Conditions, Public Sales Regulations, Stadium Code of Conduct and other requirements of this Application Form. Please note that among other things, by doing so you are consenting to the use of
the personal information as described in the General Ticket Terms and Conditions and Public Sales Regulations.”
“I accept and will comply with the 2010 FIFA World Cup South AfricaTM General Ticket Terms and Conditions, Public Sales Regulations, Stadium Code of Conduct and other requirements of this
Ticket Application Form.”
Signature of Applicant*:
Tick the box if you agree that FIFA may share the personal information that you have provided about yourself in this Ticket application form (other than your passport reference) with FIFA’s
commercial affiliates throughout the world in order that they may contact you with news, and/ or details of products and services that may be of interest to you.
Please keep a copy of this Ticket Application Form for your records and return the original to the FWCTC as indicated within page 1 of the Ticket Application Form.
TICKET application Form (MATCH TICKET)
Please fill this application form in BLOCK CAPITALS using black ink, placing each character clearly within each space provided. Fields marked with (*) are mandatory.
PERSONAL DETA ILS OF APPLICANT (USE BLOCK CAPITALS )
Title: Mr. n Mrs. n Ms. n Miss n Other n
First Name(s)*:
Surname*:
Date of Birth*: D D M M Y Y Y Y Passport Reference*:
Nationality*:
Address 1*:
Address 2*:
City/Town*:
Province/Region*:
Postal/Zip Code*: Country:
Telephone: Mobile/Cell*:
Fax:
Email:
PERSONAL DETA ILS OF FIRST GUEST, IF APPLICABLE (USE BLOCK CAPITALS )
Title: Mr. n Mrs. n Ms. n Miss n Other n
First Name(s)*:
Surname*:
Date of Birth*: D D M M Y Y Y Y Passport Reference*:
Nationality*:
Enter Match Number(s)*:
PERSONAL DETA ILS OF FIRST GUEST, IF APPLICABLE (USE BLOCK CAPITALS )
Title: Mr. n Mrs. n Ms. n Miss n Other n
First Name(s)*:
Surname*:
Date of Birth*: D D M M Y Y Y Y Passport Reference*:
Nationality*:
Enter Match Number(s)*:
PERSONAL DETA ILS OF FIRST GUEST, IF APPLICABLE (USE BLOCK CAPITALS )
Title: Mr. n Mrs. n Ms. n Miss n Other n
First Name(s)*:
Surname*:
Date of Birth*: D D M M Y Y Y Y Passport Reference*:
Nationality*:
Enter Match Number(s)*:
TODAY ’S DATE :
4 Official International General Public Ticket Appl