EAST MIDLANDS INTER COUNTIES ENTRY FORM

Copy and paste this entry form and return it to the Secreatry Colin Butler at colincpsa@yahoo.co.uk

No CPSA numbers are required when sending your team details to the Secretary, but grounds will require them when booking on your teams.

Please do not forget to email your team details to the relevant ground, contact details for these can be found in the Championship Ground Directory on this site.

COUNTY -

DISCIPLINE -

TEAM MANAGER or CONTACT –

TELEPHONE CONTACT DETAILS -

 

SENIOR TEAM	LADIES TEAM	VETERANS TEAM	JUNIOR TEAM
1.	1.	1.	1.
2.	2.	2.	2.
3.	3.	3.	3.
4.	4.	4.	4.
5.
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7.
8.