Rugby World Cup 2011

Package Booking Form

• Please complete one form per person.
• Please complete all fields marked .
• Please refer to the USA Rugby Packages for package inclusions.
• All packages include officially guaranteed RWC 2011 match tickets.
• Accommodation packages are based on twin / double share basis. Any other rooming occupancy will incur additional charges.
• Packages are non-refundable and non-transferrable.

Contact Details
Your Title (Mr, Mrs etc)
First name
Last name
Organisation
Physical Address
City
State
Postcode
Country
Day Phone (+64 9 555 8888)
Evening Phone (+64 9 555 8888)
Mobile Phone (+64 21 555 8888)
Email Address
Confirm Email
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