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

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 - 1B25B20F)

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		* Required Field
Alternative Phone
e-mail		* Required Field
Comment
Please ensure you have included a contact Phone or Mobile above Please also note the following You must supply venue name and address details. Four players must be listed with names and addresses.
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

What does this say? * Required Field

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Competition Entry Form