shopDCFC Direct 0871 472 1884 (option 1) www.dcfc.co.uk
PAYMENT DETAILS
Season Tickets will be charged at the rates shown at the beginning of this brochure for the date that the renewal form is received. Please note that no
responsibility can be taken by Derby County Football Club for renewal applications not received or delayed in the post.
This Season Ticket should be charged at: Adult rate Senior rate Juvenile rate Junior Junior rate Young adult rate
Cost Tick if required
Season Ticket cost or direct debit deposit £
Platinum membership (adults £15, 16s and under £10) £
Rams on Tour membership (£25) £
Car parking renewal (£130 for South car park, £60 east Disabled parking) £
Credit card processing fee (adults £10, concessions £5, Rams Card £0 per Season Ticket) £
Total payable £
Method of payment: Cash Cheque Direct Debit Credit/Debit card Zebra Finance Installments
Card number Start date expiry date Issue no.
CV2 (last 3 digits on signature strip)
Signature Date
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