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Entry Form: Portsmouth End of Season Meet
13 & 14 July,
Mountbatten Centre, PO2 9QA
£9 for 50/100/200m’s, £10 for 400m’s PLUS £6 admin fee per swimmer
Closing date for entries and payment
Fri 17 May
Account Name Locks Heath Swim Squad
Account 60448036
Sort Code 20-30-89
Ref “name”EOS
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* Indicates required question
Email
*
Your email
Swimmer’s First Name
*
Your answer
Swimmer’s Surname
*
Your answer
Events you wish to enter
*
50 Fly
100 Fly
200 Fly
50 Back
100 Back
200 Back
50 Breast
100 Breast
200 Breast
50 Free
100 Free
200 Free
400 Free
200 IM
400 IM
Required
Number of 50/100/200m events entered
*
Your answer
Number of 400m events entered
*
Your answer
Entry fee due - £9 per 50/100/200m event, £10 per 400m event PLUS £6 admin
*
Your answer
Payment date
*
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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