HASSRA Rugby League World Cup 2022

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1. Name *

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2. HASSRA Membership Number - this will be prefixed with HAS and can be found in your HASSRA Live online account. www.hassra.org.uk/live *

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3. Email address where all communications will be sent.
(please take extra care when typing the email address to prevent undelivered emails) *

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4. Contact number *

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5. What is your local HASSRA club? *

Barnsley CSA
Barnsley JCP
Bradford Debt Centre
Bradford District
Bridlington
Castleford
Dearne Valley
Doncaster
Grimsby

Halifax (Calderdale)
Halifax (Dean Clough)
Hemsworth
Huddersfield
Hull
Kirklees North
Leeds Quarry House
Leeds City

Pontefract
Rotherham
Scarborough
Scunthorpe
Sheffield
Wakefield
York
Other (please specify):

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6. How many tickets are you looking to purchase?

(HASSRA will give 50% cost of members own tickets to 2 games of your choice to a maximum for £50 cashback per member (subject to review depending on demand). *

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7. What price tickets are you looking to purchase? *