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Competition Entry Form


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Sun 2 June 2024
Prize Fund £TBA - Entry Fee £26.00
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Venue: The Cue Club,
53 Blaby Road,,
South Wigston,, Leicestershire,
LE18 4PA
Tel: 0116 291 3197

Tournament Director: - email: shaunbaker@btinternet.com

Closing Date for Entries: 25.05.2024

ENTRY FORM (Order Reference - D29B6CE)

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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