Canterbury Hockey Festival 2004– Entry Details  
   
    Please note: this form is for printing and completion off-line!      
               
  Name of Club:      
               
  Your Team’s Playing Name:       
               
  Preferred Competition:
Men’s Cup      
  (please ring for any clarification)  
Men’s Plate      
     
Ladies’ Cup      
               
  Team Colours:        
               
  Number in squad:    
               
  Umpires or player-umpires included?:      
           
  Your Team Contact   Name    
      Address        
           
               
      Telephone    
           
      Email    
           
  Where would you be staying?  
Camping at the club ( £5pp/pn)  
     
Hotel/Guest House etc  
         
  NOTES      
         
  Please complete a form for each team and send this in as soon as possible.      
               
  The Entry Fee for a squad of up to 13 players is £300 and at least a deposit of £150 is required with this form (or Transaction ID if paying by WorldPay). The remainder of the entry fee is required before 10 March 2004. Please allow £10 per person for each extra player.  
               
  Please make cheques payable to Polo Farm Sports Club      
         
  If you wish to pay by credit or debit card you may use our payments gateway at http://polofarm.org/polo/pay.html.

Please enter the Transaction ID you will find on the response page and acknowledgement emails. 		     
   
DEPOSIT   
Transaction ID:    
   
FINAL   
Transaction ID:      
   
or FULL   
Transaction ID:      
  If you have to pay by bank transfer you will need to contact the organisers to obtain bank details      
  Please send form (+ cheque) to:


Catherine di Mauro,

16 Gardeners Place,
Chartham,
Canterbury,
Kent CT4 7TR

Mobile : 07760 244611
email: catherinedimauro@hotmail.com

  
       
 
SIGNED:


 
 
Date: