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HEREFORD & WORCESTER OPEN

5th/6th December 2009 For details see:http://www.one4all.plus.com/hwo.html

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ENTRY FORM: Send only by post with correct fee to:

John C Haynes, Acrefield, Mathon Road ,

Colwall, Malvern, Worcs. WR13 6ER

Surname:
Forename:
Weapon(s):_____________(ME WE WS MF WF MS)
Entry Fee: £

(£16.00 per weapon, if received before 17/11/09. Cheques payable to H&W CFU)

Entry numbers will be limited. Late entries accepted at the organisers' discretion; £6 extra per weapon till 28th November. Entries after 29th November only accepted if double fees are paid at the venue at least 20 minutes before latest report time.

Club:____________________ Nation (if not GBR):
BFA no:
Year of birth: ___________ (if Cadet, Junior, or Veteran)
Address:
Postcode:
Your contact tel:
Your E-mail:
Contact/tel: (In Case of Emergency)
I accept that the organisers cannot be held responsible for any accident, loss or damage sustained at the tournament.  
Signed: Date:
Parent/Guardian if under 18.  N.B. Entry is not open to anyone under 13 on 01.01.2010