Kerang 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

1st Event
Partner (if Doubles)
2nd Event
Partner (if doubles)
3rd Event
Partner (if doubles)
4th Event
Partner (if doubles)
5th Event Partner (if doubles)	Note: Age Events listed as U indicates and under. Players can enter 5 events if available from Friday 8.00am Players can enter 4 events if available from Saturday 8.00am (no singles) Players can enter 2 events (mixed only )if only available from Sunday 8.00am


Time available for first match *	* See tournament conditions regarding time availablity

Special requests - exemptions etc.
Payment Method Total Entry Fee	Visa Mastercard Paypal Visa, Mastercard or Paypal payments to be made below with the Pay Fees button after sending your entry.

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.