2019 GOSEN Tasmanian Teams Championships & Bellchambers Cup
This is the official entry form for the 2019 GOSEN Tasmanian Teams Championships & Bellchambers Cup.
Held May 18th / 19th at the South Hobart Badminton Hall. 101 Cascade Rd, South Hobart.
To confirm your entry the payment of $115.00 must be paid into the following account:-
Account Name - M Gillie
BSB - 082 991
Account Number - 211385916
(Please use your name as a reference)
*If you are having an extra person attend the presentation dinner - held in the social room at the Badminton Hall the cost is $45 - please pay into the same account.)
Any questions please - contact either Brent Munday 0418202980 or Matthew Gillie 0438436372
Email address *
Name *
Your answer
Phone Number *
Your answer
Shirt Size *
I will be attending the presentation dinner *
I will have someone else attending the presentation dinner with me (cost $45) - attendee's name *
Your answer
Entry Payment - I have made payment of $115.00 via DIRECT DEBIT into the following account:- Account Name - M Gillie BSB - 082 991 Account Number - 211385916 (Please use your name as a reference) *
Date - Payment of $115.00 was made *
MM
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DD
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Any other details - we may need to accompany your entry
Your answer
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