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Under 16 National Singles
Sat 25 November 2017
Prize Fund £TBA - Entry Fee £5.00
(There will be a handling fee of £0.20 making the total price £5.20 **)
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Venue: Lennons,
16a Stephenson Place,
Chesterfield, Derbyshire, S40 1XL
Tel: 01246-201888

Tournament Director: Alan Benton

Closing Date for Entries: 22.11.2017

ENTRY FORM (Order Reference - B2A253A7)

Primary Contact/Entrant Details
First Name * Required Field
Last Name * Required Field
Address1 * Required Field
Address2
Town * Required Field
County * Required Field
Postcode * Required Field
Telephone
Mobile
e-mail * Valid Email is Required
EPA Id No * Required Field
Date of Birth
Comment
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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