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How to Apply

for Tickets
Members of the International General Public can apply
for 2010 FIFA World Cup South AfricaTM tickets in the
following ways:

1. Online
Official International

Visit the 2010 FIFA World Cup South Africa™ ticketing website at
General Public Ticket

www.FIFA.com and apply for tickets using one of your payment cards
that are authorised by your issuing bank to transact online.
Visa is the preferred payment method of the
Application Form

2010 FIFA World Cup South Africa™.

2. By Post
Complete this Ticket Application Form, and send it by post to this address:
2010 FIFA World Cup™ Ticketing Centre (FWCTC)
Aurorastrasse 100
8032 Zurich
Switzerland

3. By Fax
To apply by fax, please send the completed Ticket Application Form
to +41 43222 6800. Please send the ticket order form and personal
details section of the Ticket Application Form.

For further ticketing information regarding the 2010 FIFA World Cup
South Africa™ and the ticket application process please refer to the
Frequently Asked Questions located within the 2010 FIFA World Cup™
ticketing page of www.FIFA.com.

If you choose to apply for 2010 FIFA World Cup South Africa™ tickets
via this downloadable Ticket Application Form and your application
is successful/partially successful you will be instructed to pay the
required amount via Bank/Wire transfer into the designated FIFA
Ticketing account. Details to be provided at a later date.

Official International General Public Ticket Application Form 1


TICKET application Form
(MATCH TICKET)
TICKET application Form
(MATCH TICKET)
Please fill this application form in BLOCK CAPITALS using black ink, placing each character clearly within each space provided. Please fill this application form in BLOCK CAPITALS using black ink, placing each character clearly within each space provided. Fields marked with (*) are mandatory.
The maximum number of tickets you can apply for are 4 tickets per match and for up to a maximum of 7 matches. TODAY’S DATE:
PERSONAL DETAILS OF APPLICANT (USE BLOCK CAPITALS)
TICKET DETAILS TICKET DETAILS
MATCHES NUMBER OF TICKETS MATCHES NUMBER OF TICKETS Title: Mr. n Mrs. n Ms. n Miss n Other n

No. TEAMS VENUE DATE CAT 1 CAT 2 CAT 3 WC No. TEAMS VENUE DATE CAT 1 CAT 2 CAT 3 WC
First Name(s)*:
1 South Africa v A2 SOCCER CITY 11.06 38 C2 v C3 LOFTUS VERSFELD 23.06
Surname*:
2 A3 v A4 GREEN POINT 11.06 39 D4 v D1 SOCCER CITY 23.06
Date of Birth*: D D M M Y Y Y Y Passport Reference*:
3 B1 v B2 ELLIS PARK 12.06 40 D2 v D3 MBOMBELA 23.06
Nationality*:
4 B3 v B4 NELSON MANDELA BAY 12.06 41 F4 v F1 ELLIS PARK 24.06
Address 1*:
5 C1 v C2 ROYAL BAFOKENG 12.06 42 F2 v F3 PETER MoKaBA 24.06

6 C3 v C4 PETER MoKaBA 13.06 43 E2 v E3 ROYAL BAFOKENG 24.06 Address 2*:

7 D1 v D2 DURBAN 13.06 44 E4 v E1 GREEN POINT 24.06 City/Town*:

8 D3 v D4 LOFTUS VERSFELD 13.06 45 G4 v G1 DURBAN 25.06 Province/Region*:


9 E1 v E2 SOCCER CITY 14.06 46 G2 v G3 MBOMBELA 25.06 Postal/Zip Code*: Country:
10 E3 v E4 FREE STATE 14.06 47 H4 v H1 LOFTUS VERSFELD 25.06 Telephone: Mobile/Cell*:
11 F1 v F2 GREEN POINT 14.06 48 H2 v H3 FREE STATE 25.06
Fax:
12 F3 v F4 ROYAL BAFOKENG 15.06 49 R16 - 1A v 2B NELSON MANDELA BAY 26.06
Email:
13 G3 v G4 NELSON MANDELA BAY 15.06 50 R16 - 1C v 2D ROYAL BAFOKENG 26.06

14 G1 v G2 ELLIS PARK 15.06 51 R16 - 1D v 2C FREE STATE 27.06 PERSONAL DETAILS OF FIRST GUEST, IF APPLICABLE (USE BLOCK CAPITALS)
15 H3 v H4 MBOMBELA 16.06 52 R16 - 1B v 2A SOCCER CITY 27.06
Title: Mr. n Mrs. n Ms. n Miss n Other n
16 H1 v H2 DURBAN 16.06 53 R16 - 1E v 2F DURBAN 28.06

17 South Africa v A3 LOFTUS VERSFELD 16.06 54 R16 - 1G v 2H ELLIS PARK 28.06 First Name(s)*:

18 A4 v A2 PETER MoKaBA 17.06 55 R16 - 1F v 2E LOFTUS VERSFELD 29.06 Surname*:


19 B4 v B2 FREE STATE 17.06 56 R16 - 1H v 2G GREEN POINT 29.06 Date of Birth*: D D M M Y Y Y Y Passport Reference*:
20 B1 v B3 SOCCER CITY 17.06 57 QF - W53 v W54 NELSON MANDELA BAY 02.07 Nationality*:
21 D1 v D3 NELSON MANDELA BAY 18.06 58 QF - W49 v W50 SOCCER CITY 02.07
Enter Match Number(s)*:
22 C4 v C2 ELLIS PARK 18.06 59 QF - W52 v W51 GREEN POINT 03.07

23 C1 v C3 GREEN POINT 18.06 60 QF - W55 v W56 ELLIS PARK 03.07 PERSONAL DETAILS OF FIRST GUEST, IF APPLICABLE (USE BLOCK CAPITALS)
24 D4 v D2 ROYAL BAFOKENG 19.06 61 SF - W58 v W57 GREEN POINT 06.07 Title: Mr. n Mrs. n Ms. n Miss n Other n
25 E1 v E3 DURBAN 19.06 62 SF - W59 v W60 DURBAN 07.07
First Name(s)*:
26 E4 v E2 LOFTUS VERSFELD 19.06 63 3RD - RUp61 v RUp62 NELSON MANDELA BAY 10.07
Surname*:
27 F4 v F2 FREE STATE 20.06 64 FINAL - W61 v W62 SOCCER CITY 11.07
Date of Birth*: D D M M Y Y Y Y Passport Reference*:
28 F1 v F3 MBOMBELA 20.06

29 G1 v G3 SOCCER CITY 20.06 Nationality*:


Each Wheelchair Ticket that WHEEL
30 G4 v G2 GREEN POINT 21.06 is successfully confirmed will MATCHES CAT 1 CAT 2 CAT 3 CHAIR Enter Match Number(s)*:
include an additional Ticket for
31 H4 v H2 NELSON MANDELA BAY 21.06 the companion who will All prices are in US$ and inclusive of VAT*

32 H1 v H3 ELLIS PARK 21.06


accompany you at no extra cost. 1 450 300 200 70 PERSONAL DETAILS OF FIRST GUEST, IF APPLICABLE (USE BLOCK CAPITALS)
2 to 48 160 120 80 20
33 A2 v A3 ROYAL BAFOKENG 22.06
If the Ticket(s) in your selected
Title: Mr. n Mrs. n Ms. n Miss n Other n
49 to 56 200 150 100 50
34 A4 v South Africa FREE STATE 22.06 category are no longer
available, will you accept a 57 to 60 300 200 150 75 First Name(s)*:
35 B2 v B3 DURBAN 22.06 lower category? If yes, then
61 & 62 600 400 250 100
please tick the box. Surname*:
36 B4 v B1 PETER MoKaBA 22.06 63 300 200 150 75
Date of Birth*: D D M M Y Y Y Y Passport Reference*:
37 C4 v C1 NELSON MANDELA BAY 23.06 * At the prevailing rate in January 2009 64 900 600 400 150
Nationality*:
ACCEPTANCE OF TERMS & CONDITIONS Enter Match Number(s)*:
“By completing and submitting this Ticket Application Form, you are irrevocably agreeing and undertaking to comply with the 2010 FIFA World Cup South Africa General Ticket Terms and
TM

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.

2 Official International General Public Ticket Application Form 3


TST application Form
(TEAM SPECIFIC TICKET SERIES)
TST application Form
(TEAM SPECIFIC TICKET SERIES)
Please fill this application form in BLOCK CAPITALS using black ink, placing each character clearly within each space provided. Please fill this application form in BLOCK CAPITALS using black ink, placing each character clearly within each space provided. Fields marked with (*) are mandatory.
The maximum number of TST Series you can apply for is 4. TODAY’S DATE:

TICKET DETAILS (USE BLOCK CAPITALS) PERSONAL DETAILS OF APPLICANT (USE BLOCK CAPITALS)
Number of team specific ticket series
TST SERIES PRODUCT TEAM CODE
Title: Mr. n Mrs. n Ms. n Miss n Other n
CAT 1 CAT 2 CAT 3 WC
First Name(s)*:
TST SERIES - 3 FIXED
Surname*:
TST SERIES - 4 FIXED Each Wheelchair Ticket that is successfully confirmed will
include an additional Ticket for the companion who will Date of Birth*: D D M M Y Y Y Y Passport Reference*:
TST SERIES - 5 FIXED accompany you at no extra cost.
Nationality*:
TST SERIES - 6 FIXED
If the TST Series in your selected category are no
longer available, will you accept a lower category?
Address 1*:
TST SERIES -7 FIXED
If Yes then please tick the box.
Address 2*:
Select your code from below
City/Town*:

Province/Region*:
At the date of printing this Ticket Application Form, approximately 100 teams are still competing in qualifying matches around the world to determine which teams will qualify for the Postal/Zip Code*: Country:
2010 FIFA World Cup South Africa™. These countries are as follows:
Telephone: Mobile/Cell*:
TEAM CODE Burkina Faso BFA France FRA Kenya KEN Nigeria NGA South Africa* RSA
Albania ALB Cameroon CMR FYR Macedonia MKD Korea DPR PRK Northern Ireland NIR Spain ESP Fax:
Algeria ALG Chile CHI Gabon GAB Korea Republic KOR Norway NOR Sweden SWE Email:
Andorra AND Colombia COL Georgia GEO Latvia LVA Paraguay PAR Switzerland SUI
Argentina ARG Costa Rica CRC Germany GER Liechtenstein LIE Peru PER Togo TOG
PERSONAL DETAILS OF FIRST GUEST, IF APPLICABLE (USE BLOCK CAPITALS)
Armenia ARM Cote d’Ivoire CIV Ghana GHA Lithuania LTU Poland POL Trinidad and Tobago TRI
Australia AUS Croatia CRO Greece GRE Luxembourg LUX Portugal POR Tunisia TUN Title: Mr. n Mrs. n Ms. n Miss n Other n

Austria AUT Cyprus CYP Guinea GUI Malawi MWI Qatar QAT Turkey TUR First Name(s)*:
Azerbaijan AZE Czech Republic CZE Honduras HON Mali MLI Romania ROU Ukraine UKR
Surname*:
Bahrain BHR Denmark DEN Hungary HUN Malta MLT Russia RUS United Arab Emirates UAE
Date of Birth*: D D M M Y Y Y Y Passport Reference*:
Belarus BLR Ecuador ECU Iceland ISL Mexico MEX Rwanda RWA Uruguay URU
Nationality*:
Belgium BEL Egypt EGY Iran IRN Moldova MDA San Marino SMR USA USA
Benin BEN El Salvador SLV Republic of Ireland IRL Montenegro MNE Saudi Arabia KSA Uzbekistan UZB
Bolivia BOL England ENG Israel ISR Morocco MAR Scotland SCO Venezuela VEN PERSONAL DETAILS OF SECOND GUEST, IF APPLICABLE (USE BLOCK CAPITALS)
Bosnia-Herzegovina BIH Estonia EST Italy ITA Mozambique MOZ Serbia SRB Wales WAL
Title: Mr. n Mrs. n Ms. n Miss n Other n
Brazil BRA Faroe Islands FRO Japan JPN Netherlands NED Slovakia SVK Zambia ZAM
Bulgaria BUL Finland FIN Kazakhstan KAZ New Zealand NZL Slovenia SVN First Name(s)*:
*Qualified as Hosts
Surname*:
The table below shows the price of each TST Series, in US Dollars, and the Opening Match Premium
number of matches in each TST Series. TST Series for South Africa and Team A2 will cost the following: Date of Birth*: D D M M Y Y Y Y Passport Reference*:

Nationality*:
COST PER TST SERIES IN US$ COST PER TST SERIES IN US$ and
MAXIMUM NUMBER OF MATCHES MAXIMUM NUMBER OF MATCHES
TST and inclusive of VAT* TST inclusive of VAT*
NUMBER NUMBER
SERIES SERIES
OF TICKETS CAT 1 CAT 2 CAT 3 WC GM R16 QTR SEMI FINAL OF TICKETS CAT 1 CAT 2 CAT 3 WC GM R16 QTR SEMI FINAL
PERSONAL DETAILS OF THIRD GUEST, IF APPLICABLE (USE BLOCK CAPITALS)
TST-3 3 528 396 264 66 3 0 0 0 0 TST-3 3 847 594 396 121 3 0 0 0 0
Title: Mr. n Mrs. n Ms. n Miss n Other n
TST-4 4 748 561 374 121 3 1 0 0 0 TST-4 4 1,067 759 506 176 3 1 0 0 0
First Name(s)*:
TST-5 5 1,078 781 539 204 3 1 1 0 0 TST-5 5 1,397 979 671 259 3 1 1 0 0
Surname*:
TST-6 6 1,738 1,221 814 314 3 1 1 1 0 TST-6 6 2,057 1,419 946 369 3 1 1 1 0
Date of Birth*: D D M M Y Y Y Y Passport Reference*:
TST-7 7 2,728 1,881 1,254 479 3 1 1 1 1 TST-7 7 3,047 2,079 1,386 534 3 1 1 1 1
Nationality*:
* At the prevailing rate in January 2009

ACCEPTANCE 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.

4 Official International General Public Ticket Application Form 5