Untitled Document

ENTRY FORM FOR UK Closed 2010

STEP 1 - Personal Details /Account Creation:
Man's First Name*:
Man's Last Name*:
Man's Date of Birth (DD/MM/YYYY):
Lady's First Name*:
Lady's Last Name*:
Lady's Date of Birth (DD/MM/YYYY):
Country of representation*:
Competing as*:
Contact address:
Street:*
Address Line 2:*
County
Postal Code: *
Country(if other than GB):
Tel/Mobile:*

Man's BDC / EADA Reg.Number:
Lady's BDC / EADA Reg. Number:
Email Address:

Username:
Create your Password*:	(Between 4-12 Characters)
* Compulsory fields ** Ladies' & Mens' Date of Birth required for all Junior Juvenile & Youth & Seniorcompetitors IMPORTANT: If you would like to enter multiple users/competitors with the same email address, you will have to create a different user (new username and password) after completing this entry. This will allow you to maintain multiple users on this system.


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