ENGLISH POOL ASSOCIATION

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Champion of Champions Finals

Fri 15 - Sun 17 November 2019
Prize Fund £15,900.00 - Entry Fee £52.00

All teams to register between 20:00 - 23:00 Friday 16.11.2019. Team Play starts
at 09:00 on Saturday 17.11.2019

Venue: Vauxhall Holiday Park, Great Yarmouth, Norfolk

Tournament Director: - email: tournaments@epa.org.uk

*** CLOSED ***

Closing Date for Entries: 14.08.2019

ENTRY FORM (Order Reference - 1478225C)

Primary Contact/Entrant Details

League Name		* Required Field
County (affiliated to in 2019)		* Required Field
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 also note the following If there is no Mens or Ladies singles entry state 'None'
Winners or Runners Up		* Required
Mens Singles Name		* Required
Mens Singles Address		* Required
Mens Singles Phone		* Required
Mens Singles email		* Required
Ladies Singles Name		* Required
Ladies Singles Address		* Required
Ladies Singles Phone		* Required
Ladies 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