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Competition Entry Form


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Sat 10 - Sun 11 November 2018
Prize Fund £15,900.00 - Entry Fee £52.00
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Venue: Vauxhall Holiday Park, Great Yarmouth, Norfolk

Tournament Director: Alan Benton - email: Tournaments@epa.org.uk

*** CLOSED ***
Closing Date for Entries: 26.07.2018

ENTRY FORM (Order Reference - DF3CDEB7)

Primary Contact/Entrant Details
League Name * Required Field
County (affiliated to in 2018) * Required Field
First Name * Required Field
Last Name * Required Field
Address1 * Required Field
Town * Required Field
County * Required Field
Postcode * Required Field
Telephone * Required Field
Alternative Phone
e-mail * Required Field
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.
Mens Champion Name * Required
Mens Champion Address * Required
Mens Champion Phone * Required
Mens Champion email * Required
Ladies Champion Name * Required
Ladies Champion Address * Required
Ladies Champion Phone * Required
Ladies Champion email * Required
Team Champions Name * Required
Team Champions Address * Required
Team Champions Phone * Required
Team Champions email * Required
Team Champions Contact Name * Required
Team Champions Player 1 * Required
Team Champions Player 2 * Required
Team Champions Player 3 * Required
Team Champions Player 4 * Required
Team Champions Player 5 * Required
Team Champions Player 6 * Required
Team Champions Player 7 * Required
Team Champions Player 8
Team Champions Player 9
Team Champions Player 10
Verify thisWhat does this say? * Required Field
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(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


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