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9th NATIONAL OVER 60/70s CRICKET CHAMPIONSHIPS

VICTORIA (DANDENONG-CASEY AREA)

08 to 13 NOVEMBER 2014

DETAILS:

1.              State: ………………………………………….

 

2.              Number of Teams nominated: ………………

Division 1 to 3: ………….

Division 4: ………………

3.              Team Details:

Division 1     Team Name: ……………………......................

Team Contact: …………………………………

Mobile: …………………………......................

Email: …………………………………………

 

Division 2     Team Name:……………………………………

Team Contact:…………………………………

Mobile:………………………….......................

Email:………………………………………….

 

Division 3     Team Name:……………………………………

Team Contact:…………………………………

Mobile:…………………………………………

Email:…………………………………………..

 

Division 4     Team Name:…………………………………….

Team Contact:………………………………….

Mobile:…………………………………………

Email:…………………………………………..

4.              Total anticipated Players attending:……………….

Total anticipated Partners attending:………………

Total anticipated Umpires attending:………………

5.              Name and location of Accommodation House in Melbourne:

………………………………………………………….…

6.              Each State responsible to arrange their own accommodation.

7.              Team Entry Fee is set at $250.00

8.              Payment Options:

By Cheque…payable to “VOSCA Australian Championships”

Or Direct Bank Transfer

Bendigo Bank BSB 633 000

Account No 124539826

 

Link to download document files/15137/files/National Championship/02A Championship Team Nominations Master.docx