Chelsea FC reserves the right to request “proof of a disability” before issuing a Membership for disabled supporters for the coming season. For the 2018/19 season, all applicants (including disabled Season Ticket Holders and Members renewing) must include proof of disability valid within the last year from the date of application with their completed application form. Such proof shall include one of the following: • Receipt of the middle or higher rate of the Disability Living Allowance (mobility or care component); • Receipt of the standard or enhanced rate of daily living component of the Personal Independence Payment; • Receipt of the enhanced rate of the mobility component of the Personal Independence Payment; • Receipt of either the Severe Disablement Allowance, the Employment and Support Allowance or the Attendance Allowance; • A specialist personal letter from the hospital to confirm that the person is in receipt of support services. • Please note that receipt of an Orange/Blue badge will not be considered sufficient proof of disability for a match Ticket under the Ticketing Policies and Club Schemes for disabled Members. All existing disabled Members or disabled Season Ticket Holders will be required to produce proof of disability. Chelsea FC requires all membership applications to specify the applicant’s full home address. For the avoidance of any doubt, Chelsea FC will not accept membership applications which specify a mail box address. DISABILITY DETAILS Please indicate whether you are Ambulant (Non-Wheelchair User) Non-Ambulant (Wheelchair User) Visually Impaired (Require Radio Commentary) PROOF OF DISABILITY Full details of proof of disability can be found on the opposing page. NB: Receipt of an Orange/Blue badge will not be considered sufficient proof of disability. Disabled Supporters Membership Free to join Sign up today! Proof of disability DATA PROTECTION Please let us know if you would like to be contacted by Chelsea FC and its group companies with news and promotional information about Chelsea FC, its official sponsors and partners (www.chelseafc.com/partners) and its and their products and services, where we have the relevant contact details: by email by SMS by mail by phone Please read our Privacy Policy (www.chelseafc.com/privacy) to learn more about Chelsea FC and its group companies, how we use your information and how to change your mind about receiving marketing from us. AGREEMENT I hereby confirm I have read the terms and conditions of membership and ground regulations and agree to abide by them. Signature: Date: The support from all our fans during 2017/18, was again second to none and we’d like to thank you for your backing last season. We want to make sure disabled members can be part of the pride, the passion, the pain and the excitement again in the 2018/19 season, so renew your membership today to make sure you can be there when it counts. It’s free to apply, so there really is no excuse. LOYALTY WILL SECURE YOUR PLACE AT THE BIG GAMES! Our members’ Loyalty Point System means that even much sought after tickets, like domestic Cup Finals and European Cup Semi Finals and Finals, will be available to those members with the most Loyalty Points over the course of the season. Please note disabled match tickets are non transferable Don’t miss the signing-on window. All you have to do to renew is complete the attached application form and return it to us at: Access Department, PO Box 21808, London SW6 1HS. Remember, the sooner you join up, the sooner you can start applying for tickets for the 2018/19 season. NEW MEMBERSHIP CARDS Please note, any new membership card issued at the start of the 2018/19 season will be a multi-season card. Therefore you should keep hold of your card at the end of the season and when you renew your card will automatically be updated. Replacement cards will incur a charge. DISABLED SUPPORTERS The Disabled Supporter Membership will work whereby disabled member can sign up to this scheme in order to purchase match tickets plus a free personal assistant ticket. MEMBERS Disabled Supporters Members can apply for their preferred match on a first come first served basis 42 days where possible prior to the fixture – where 42 days falls on a Saturday or Sunday the tickets will go on sale on the following Monday or if Monday is a “Bank Holiday”, then Tuesday. A match ticket application form will be available to download from the website. ADULT MEMBERSHIP I wish to apply for: (please tick appropriate box) TIER 1 Ticket Only FREE TIER 2 Magazine UK £36 Europe £60 RoW £80 TIER 3 Original UK £46 Europe £70 RoW £90 JUNIOR MEMBERSHIP I wish to apply for: (please tick appropriate box) 0-12 YEARS Ticket only UK FREE 0-12 YEARS Junior Pack UK £22 Europe £27 RoW £32 13-19 YEARS Ticket only UK FREE 13-19 YEARS Teens Pack UK £22 Europe £27 RoW £32 Pricing and Payment Details 2018/19 AMAZING EARLY RENEWAL OFFER Renew before 5pm 27 July 2018 and receive 5 extra loyalty bonus points - what a difference this could make to your ticket applications during 2018/19!