Albury Entry Form

Surname
Given Name
Gender	Male Female
Club
Date of birth	dd.mm.yy
Address1
Address2
Town
Postcode
Home Phone
Phone during tournament
Australian Ranking	If you have no AR then type none
Email Confirm Email Events Entered	You may enter in a maximum of 4 events (including Open events) Junior Events listed as U indicates & Under as of April 31 2011

1st Event
Partner (if Doubles)
2nd Event
Partner (if doubles)
3rd Event
Partner (if doubles)
4th Event
Partner (if doubles)
	Note: Age Events listed as U indicates and under.


Time available for first match

Special requests - exemptions etc.
Payment Method Total Entry Fee	Visa Mastercard Paypal Cheque Money Order Visa, Mastercard or Paypal payments to be made below with the Pay Fees button. Cheques or Money order payments to be posted to The Tournament Secretary

Please click Send Entry to submit your entry

You will then receive two emails
as explained on the green confirmation page
which displays once you have clicked Send Entry below.