| LEYLAND & DISTRICK ALLED POOL LEAGUE | ||||||||
| REGISTRATION FORM FOR SUMMER SEASON 2006 | ||||||||
| REGISTRATION FORM MUST BE FILLED IN PLEASE SEND TO | ||||||||
| GEOFF YATES AT 5 BARNFIELD LOSTOCK-HALL PR5 5LD | ||||||||
| REGISTRATION NIGHT ON WENSDAY 19th APRIL 2006 | ||||||||
| AT BRITISH LEGION LOSTOCK-HALL 8PM TO 9-30PM | ||||||||
| NAME & ADDRESS OF TEAM TEL No | ||||||||
| PUB | ||||||||
| MOBILE | ||||||||
| FAX | ||||||||
| CONTACT NAME & ADDRESS FOR TEAM TEL No | ||||||||
| HOME | ||||||||
| MOBILE | ||||||||
| FAX | ||||||||
| REG No | PLAYERS NAME | PLAYERS HOME ADDRESS | ||||||