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Competition Entry Form


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Sat 12 - Sun 13 November 2022
Prize Fund £TBA - Entry Fee £52.00
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Venue: Pontins Holiday Centre, Prestatyn,
Central Beach, Barkby Avenue,
Denbighshire, LL19 7LA

Tournament Director: Tom Fahy

Closing Date for Entries: 12.10.2022

ENTRY FORM (Order Reference - B299A690)

Primary Contact/Entrant Details
League Name * Required Field
County (affiliated to in 2022) * 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.
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
Verify thisWhat does this say? * Required Field
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Note - your on-line entry will only be accepted when you have paid

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