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Competition Entry Form


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Sat 6 - Sun 7 May 2017
Prize Fund £20,000.00 - Entry Fee £15.00
(There will be a handling fee of £0.60 making the total price £15.60 **)
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Closing Date Extended

Venue: Vauxhall Holiday Park, Great Yarmouth, Norfolk

Tournament Director: Mike Perkins

*** CLOSED ***
Closing Date for Entries: 28.02.2017

ENTRY FORM (Order Reference - 1EF5BEE4)

Primary Contact/Entrant Details
First Name * Required Field
Last Name * Required Field
Address1 * Required Field
Town * Required Field
County * Required Field
Postcode * Required Field
e-mail * Valid Email is Required
Date of Birth
Please ensure you have included a contact Phone or Mobile above

Please also complete the following additional fields
You must supply venue name and address details
Four players must be listed with names and addresses
Team AND Venue Name
Venue Contact First Name
Venue Contact Last Name
Venue Address1
Venue Address2
Venue Town
Venue County
Venue Postcode
Venue Telephone
Player 1 First Name
Player 1 Last Name
Player 1 Address and PostCode
Player 1 email (optional)
Player 2 First Name
Player 2 Last Name
Player 2 Address and PostCode
Player 2 email (optional)
Player 3 First Name
Player 3 Last Name
Player 3 Address and PostCode
Player 3 email (optional)
Player 4 First Name
Player 4 Last Name
Player 4 Address and PostCode
Player 4 email (optional)
Verify thisWhat does this say? * Required Field

By clicking "Submit" you are agreeing to the entry terms for this competition
(available elsewhere on this web site)
Note - your on-line entry will only be accepted when you have paid

You do NOT need a PayPal account to pay using PayPal

** A small handling charge has been introduced to help cover the charges made to the EPA by the
payment processing company (eg PayPal). It is hoped that entrants will understand the need for this
and accept that it is a small price to pay in return for the increased convenience in being able to
enter these events on-line without the need to purchase a postage stamp and send a paper form in.
In addition, the entrant should receive automatic confirmation that a payment has been made.


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