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|LANCASHIRE COUNTY RUGBY FOOTBALL UNION |
|COLTS SECTION |
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|Chairman Frank Morgan 37 Wigan Road, Standish, Wigan, Lancs. WN6 0BE Tel: 01257-422977 |
|Secretary Alan James 1 Inworth Close, Westhoughton, Bolton, Lancs. BL5 2GS Tel: 01942-813470 |
|Competition’s Secretary Jon Kitchen 1 Maple Avenue, Poynton, Stockport, Cheshire. SK12 1PR Tel: 01625-859263 |
Lancashire Colts Cup Competition
|Official ENTRY FORM |(Rev #22 : 27th September 2014) |
|Season 2014/15 | |
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|Please Complete on Your PC or if handwritten write legibly in BLOCK CAPITALS and BLACK INK. |
|Club & Team Details.. | | |
| | |Rugby Club |
|…On behalf of :~ | | |
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|Name: | |Club Secretary |Signature: | |
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|E-Mail Address: | |Tel: | |
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| | |Mob: | |
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We hereby apply to enter the 2014/2015 Lancashire Colts Cup C having read and agreeing to be bound by the Lancashire Colts Cup - Competition Rules & Regulations.
|The Main Contacts for Our Teams are :~ |
| | | | |Entry Fee(s) |
| |Manager / Head Coach |Home Phone No |Mobile Phone No |(use dropdown) |
|Under 19's |Manager / Fixtures Contact : | | | |
|Colts Cup | | | | |
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| |E-Mail A/D : | | | |
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| |(Please write clearly & legibly) | |Must be Listed | |
| | | |For Matchday Contact | |
|Under 19's |Lead Coach : | | | |
|Colts Cup | | | | |
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| |E-Mail A/D : | | | |
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| | | |Must be Listed | |
| | | |For Matchday Contact | |
|Under 17's |Manager / Fixtures Contact : | | | |
|Colts Cup | | | | |
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| |E-Mail A/D : | | | |
| | | | | |
| | | | | |
| | | |Must be Listed | |
| | | |For Matchday Contact | |
|Under 17's |Lead Coach : | | | |
|Colts Cup | | | | |
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| |E-Mail A/D : | | | |
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| | | |Must be Listed | |
| | | |For Matchday Contact | |
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|Cheques payable to :- Lancashire County RFU. |TOTALS | |
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Completed forms must be signed by your Club Secretary and returned to the Competitions Secretary (address above) with the entry fee(s) of £30.00 per Team before Friday 17th October 2014.
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Please Ensure You Pay The Correct Postage for the Envelope You Use… ie: Do Not Use an A4 Envelope with Underpaid Postage or Your Entry Will Not Be Accepted.
Please Do Not Send Cash and Do Not Send Recorded Post or Signed For…
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