Club Name
Player One
Player Two
Player Three
Player Four
Player Five
Team Name
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Your Name
Your Phone
Your Email
Date
dd/mm/yyyy
Total Amount
Select Payment
Please Print before you Submit
CANTERBURY FIVES
WOMEN
B  O  W  L  S      C  A  N  T  E  R  B  U  R  Y     I  N  C
Developing & Delivering Bowls in the Canterbury Region
Competition Dates
Friday 7th December
Saturday 8th December
Sunday 9th December
Cost is $300 per team

Entries must be received by
5pm Friday 2nd November 2018

No payment means no entry is
confirmed.

Payment can direct debited to account
ANZ Bank 06-0821-0628081-00

Bank transfer must contain details:
1)
Your Name
2) Fives Women

By sending this form the team agrees to  
abide by the conditions of play governing
this competition.

An email will be sent once payment
and entry have been confirmed.