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         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