Membership/Account Number (5-8 digit):
Competition
Away ticket contact email address (if different from primary account email address):
Alternative Delivery Address (if different from address registered on account):
*Please note, tickets will be delivered to the alternative delivery address for match(es) submitted on this application only
Account Number(s) of any other Club Chelsea season ticket you would like to sit with, if all applications are successful in the ballot:
Additional information (accessible seating requirements etc):

*Please be aware that the date of matches are subject to change. In the event of this please refer to the Terms and Conditions link below.
*Child tickets are for clients under the age of 16, Concessions are for clients aged 65 and over.
Club Chelsea’s Ticket Terms and Conditions and Conditions of Issue