BENDIGO EIGHTBALL Inc.                               Monday Night Competition – Team Entry Form

# Entries will not be accepted if fewer than five players have paid their competition playing fees.

# Help with form  can be provided via Association Secretary at BendigoEightball@gmail.com or 0412832322

Association Details

Email address: bendigoeightball@gmail.com

Bank details:BSB: 633 000    

Acc No: 114 950 413

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Email *
Year *
Monday Summer/Winter *
Required
Division  *
Required
Team Name *
Team Venue & Table *
Team Member 1 (Captain) - Name *
Team Member 1 - Email *
Team Member 1 - Phone *
Team Member 1 - Category
 *
Required
Team Member 2 - Name *
Team Member 2 - Email *
Team Member 2 - Phone *
Team Member 2 - Category
 *
Required
Team Member 3 - Name *
Team Member 3 - Email *
Team Member 3 - Phone *
Team Member 3 - Category
 *
Required
Team Member 4 - Name *
Team Member 4 - Email *
Team Member 4 - Phone *
Team Member 4 - Category
 *
Required
Team Member 5 - Name *
Team Member 5 - Email *
Team Member 5 - Phone *
Team Member 5 - Category
 *
Required
Team Member 6 - Name
Team Member 6 - Email
Team Member 6 - Phone
Team Member 6 - Category
I agree to abide by the purposes and the rules of the Association

 *
A copy of your responses will be emailed to the address you provided.
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