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ENTRY FORM 2015

Llanarthney Quoits Club, Llanarthney, Carmarthenshire SA32 8JD, West Wales

Saturday 15th August 2015 - 10am Start

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

Completed forms and cheques must be received by Saturday 1st August 2015

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 Quoits Championship

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