2010 Norfolk Open Tournament

Please complete the form below, print it, sign it and forward it together
with your entrance fee (Cheques made payable to 'Norfolk Fencing Club') to:-

Mr Tony Rose, 4 Big Back Lane, Chedgrave, Norfolk, NR14 6BH

  I wish to enter :- (Please select)
  Title:
  First Name:
  Surname:
  Address:
   
  Town:
  City:
  County:
  Post Code:
  Telephone:
  Email:
  Club:
  BFA Number:
     
  Will you be able to preside at the event? Yes   No
  Member of NVA ? Yes   No
     
  I enclose my fee of: £.......................................................
     
  Signed  (by parent/guardian if under 18): .........................................................
     
  Date: .........................................................