SHAMROCK O-RINGEN '99 ENTRY FORM
PLEASE COMPLETE FORM IN BLOCK CAPITALS
Name and Address for Programme/Correspondence:

Name: ................................................................................ Telephone No.: .........................................

Address: .................................................................................................................................................

...................................................................................................................................................................

.............................................................................................................Country: .....................................
Date Rcd. Payment By Entry No.
OFFICIAL USE ONLY
We acknowledge that entries are accepted on the understanding that competitors take part at their own risk.
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FULL NAME

(Surname First)

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CLUB (*Abbr)
YEAR OF BIRTH
Tick Each Day Entered
Tick Preferred Day 1 Start
TOTAL 
FEES 
IR£
Please Tick if Day 2
1
2
3
EARLY
MID
LATE
  
IOF
WRE
'99 IOC
                             
                             
                             
                             
                             
                             
                             
                             
                             
                             
TOTAL EVENT ENTRY FEE

Plus IR£2 per entry form for programme, Results and postage

TOTAL FEES ENCLOSED IR£

  
IR£ 2.00
 

(*) Please give FULL NAME of Club(s) here:   * ............................................................................    * ............................................................................