PLEASE PRINT AND SUBMIT BY POST
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ENTRY FORM FOR
D.C.L.G.A. MEETINGS

Please complete in BLOCK LETTERS

Competition  

Date 

Venue 

 

  First name Surname CDH ID Current H'cap Home Club Entry
Fee
1            
2            
1            
2            

Signed
 

Date
 

Total

Address       


 

Post Code

 
Home Tel.No.

   
Mobile No.

 

Separate cheques for each CompetitionEntries and cheques (made payable to D.C.L.G.A.) should be sent to Mrs A Hickey, Ambrook Farmhouse, Torbryan, Newton Abbot, TQ12 5UW

See Blue Poster or Individual Posters for further details.   Start times will be notified to Clubs.