MIELIELAND - Entry Form
Email address *
Province / Team Name *
Your answer
Name of Organiser *
Your answer
Telephone (W) *
Your answer
Telephone (H) *
Your answer
Cellphone *
Your answer
Choose: *
Players names (in order) - please indicate the captain - up to 7 players with each ones cell number
Your answer
A copy of your responses will be emailed to the address you provided.
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