ENGLISH POOL ASSOCIATION

Home

Select a Different Event / Complete a New Entry Form

Ultimate Pub Pool Challenge

Sat 6 - Sun 7 May 2023
Prize Fund £TBA - Entry Fee £50.00

(53 Paid Entries, Spaces Left)

Venue: Pontins Holiday Centre,
Pakefield, London Road, Lowestoft,
Suffolk, NR33 7PF

Tournament Director: Tom Fahy - email: Events

*** CLOSED ***

Closing Date for Entries: 30.04.2023

ENTRY FORM (Order Reference - 6152B29E)

Primary Contact/Entrant Details

First Name		*
Last Name		*
Address1		*
Address2
Town		*
County		*
Postcode		*
Telephone		*
Alternative Phone
e-mail		*
Comment
Please ensure you have included a contact Phone or Mobile above Please also note the following
Team Name
Player 1 First Name
Player 1 Last Name
Player 1 email
Player 1 Mobile
Player 2 First Name
Player 2 Last Name
Player 2 email
Player 2 Mobile
Player 3 First Name
Player 3 Last Name
Player 3 email
Player 3 Mobile
Player 4 First Name (optional)
Player 4 Last Name (optional)
Player 4 email Name (optional)
Player 4 Mobile Name (optional)

Type the security text above (numbers and letters):

Please note our Privacy Policy and Privacy Notice

By clicking "Submit" you are agreeing to the entry terms for this competition
(available elsewhere on this web site)
and that you have been made aware of our Privacy Policy and Privacy Notice

Note - your on-line entry will only be accepted when you have paid

You do NOT need a PayPal account to pay using PayPal

Competition Entry Form