ENTRY FORM

British Open Quoits Championship 2009

Saturday 22nd August 10:30am

Pumpsaint, Carmarthenshire, Wales

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

Completed forms and cheques must be received by 15th August 2009

Player 1

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 : -

Linda Evans,

79 Maesydre, Caersws, Powys

SY17 5HQ                               Please make cheques payable to British Open Quoits Championship