Holt Victoria Roll Off Online Entry Form
Nomination Fees need to be deposited into the Holt Challenge Victoria Account.
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Surname *
Given Name *
Address *
Phone (Home)
Phone (Mobile)
Format 1234-567-890
Email Address
TBA Registration Number *
I wish to nominate for the: *
Required
Bowling Information as at 31 December 2013
Please include all leagues
League One *
Centre *
Average *
Number of games *
League Two
Centre
Average
Number of games
League Three
Centre
Average
Number of games
Submit
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