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ENTRY FORM: Send only by post with correct fee to:
John C Haynes, Acrefield,
Mathon Road
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Colwall, Malvern, Worcs. WR13 6ER
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| Surname: |
| Forename: |
| Event(s):__________(ME WE WS MF WF MS) |
| Entry Fee: £
(£15.00 per weapon , if received before 8/11/06. Cheques payable to H&W CFU)
Entries received between 9th and 26th November inclusive only accepted if accompanied by a late entry fee of £6 extra. Entries after 26th November only accepted if double fees are paid at the venue at least 20 minutes before latest report time. Entry numbers will be limited.
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| Club: |
| Nation (if not GBR): |
| National licence no: |
| U17*: U20*: Vet(NVA): *On 01.01.08. (Tick if applicable) |
| Address: |
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Postcode:
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| Your contact tel: |
| Your E-mail: |
| ICE (In Case of Emergency) tel: |
| I accept that the organisers cannot be held responsible for any accident, loss or damage sustained at the tournament.
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| Parent/Guardian if under 18. N.B. Entry is not open to anyone under 13 on 01.01.2008 |