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Sun 24 March 2019
Prize Fund £TBA - Entry Fee £10.00
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Maximum 32 entries

Venue: The Academy,
Unit 1, Moniton Trading Estate,
West Ham Lane, Basingstoke,
RG22 5EE
Tel: 01256 327273

Tournament Director: Alan Benton

*** CLOSED ***
Closing Date for Entries: 05.03.2019

ENTRY FORM (Order Reference - DE46A708)

Primary Contact/Entrant Details
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
EPA Id No * Required Field
Date of Birth * Valid Date Required (dd.mm.yyyy)
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