ENGLISH POOL ASSOCIATION

Home

Select a Different Event / Complete a New Entry Form

Seniors World Championship Qualifiers

Sun 2 June 2024
Prize Fund £TBA - Entry Fee £26.00

Venue: The Cue Club,
53 Blaby Road,,
South Wigston,, Leicestershire,
LE18 4PA
Tel: 0116 291 3197

Tournament Director: - email: shaunbaker@btinternet.com

Closing Date for Entries: 25.05.2024

ENTRY FORM (Order Reference - 1F748126)

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
EPA Id No		* Required Field
Date of Birth		* Valid Date Required (dd.mm.yyyy)
Comment

What does this say? * Required Field

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