ENTRY FORM

Saturday 3rd August 2013 at 10:30am

Holbrook, Nr Ipswich, Suffolk, England

Entry fee £5 per player - Under 16s play free.  Total prize fund up to £1000

Completed forms and cheques must be received by 26th June 2013

Player 2 (if applicable)

Player 2 (if applicable)

Player Name

Player Name

Address

Address

Line1

Line1

Line2

Line2

Line3

Line3

County

County

Post Code

Post Code

Contact Tel:

Contact Tel:

e-mail:

e-mail:

Club (If appropriate)

Club (If appropriate)

D.O.B. if under 16 on match day

D.O.B. if under 16 on match day

Please print this page, complete all sections and return it with your payment of £5 per player to : -

Mr Robert Abbot - British Open Quoits Championship

17 Five Acres

Holbrook

Ipswich

IP9 2QE                                                                                               Please make cheques payable to Robert Abbot