ENGLISH POOL ASSOCIATION

Select a Different Event / Complete a New Entry Form

Thu 14 - Sun 17 November 2024
Prize Fund £TBA - Entry Fee £70.00

(9 Paid Entries, Spaces Left)

Please note, if required all sections will use regional qualifying playoffs to
arrive at the following - 96 teams, 64 Mens, 32 Ladies to play at the National
finals.

This event will be run using International rules including timing, where
appropriate.

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

Tournament Director: Tom Fahy

Closing Date for Entries: 01.07.2024

ENTRY FORM (Order Reference - D51D21CD)

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
Winners or Runners Up		* Required
First Singles Name		* Required
First Singles Address		* Required
First Singles Phone		* Required
First Singles email		* Required
Second Singles Name		* Required
Second Singles Address		* Required
Second Singles Phone		* Required
Second Singles email		* Required
Team Name		* Required
Team Address		* Required
Team Phone		* Required
Team email		* Required
Team Contact Name		* Required
Team Player 1		* Required
Team Player 2		* Required
Team Player 3		* Required
Team Player 4		* Required
Team Player 5		* Required
Team Player 6		* Required
Team Player 7		* Required
Team Player 8
Team Player 9
Team Player 10

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Competition Entry Form