ENGLISH POOL ASSOCIATION

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Champion of Champions

Sat 10 - Sun 11 November 2018
Prize Fund £15,900.00 - Entry Fee £52.00

(144 Paid Entries, Spaces Left)

Venue: Vauxhall Holiday Park, Great Yarmouth, Norfolk

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

*** CLOSED ***

Closing Date for Entries: 26.07.2018

ENTRY FORM (Order Reference - 9489C53C)

Primary Contact/Entrant Details

League Name		*
County (affiliated to in 2018)		*
First Name		*
Last Name		*
Address1		*
Address2
Town		*
County		*
Postcode		*
Telephone		*
Alternative Phone
e-mail		*
Comment
Please ensure you have included a contact Phone or Mobile above Please also note the following
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

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Competition Entry Form