National-Clubs

PNZ National Clubs Championship entry form

Club

Choose One

Senior Team

Yes No

Player 1

Player 2

Player 3

Player 4

Player 5

Player 6

Person completing the form

Contact Name

Contact Email

Contact Phone Number

Payment of entry fee ($240 per team) to be made by direct credit to PNZ account 02 0772 0018366 00
Note: Please put your Club Name in the Reference field and Nat Clubs in the Code field

Date Payment Made

By completing this entry form entrants have agreed to abide by the PNZ Tournament Rules and Conditions