COLLAROY CROMER STRIKERS FOOTBALL CLUB Inc.

Incorporation Number: INC9880528

ABN: 53 942 314 848

PO BOX 5122

WHEELER HEIGHTS NSW 2097

Telephone: 0405 382 949 Fax: (02) 8246 6389

E-mail:

Web site: www.ccstrikers.com.au

The 32nd Strikers Cup

Saturday 18 September 2010

(Reserve date 25 September 2010 in the event of wet weather closure of grounds)

* Entries close Monday 14 June 2010 or on receipt of twenty (28) entries, whichever occurs first.

CLUB NAME:
ASSOCIATION/DISTRICT:
CLUB SECRETARY: / PHONE NUMBER:
CLUB MAILING ADDRESS:
MANAGER’S NAME:
EMAIL ADDRESS:
PHONE NUMBER: / MOBILE NUMBER:
COACH’S NAME:
EMAIL ADDRESS:
PHONE NUMBER: / MOBILE NUMBER:

DO NOT POST THIS FORM – This entry form will only be accepted with all sections complete and returned in its original format (Microsoft Word document) as an email attachment.

Please return via email to: -

Phil Auton (Strikers Cup Coordinator) –

** Please note: - Completion of this entry form does not constitute confirmation of entry. Confirmation of acceptance into the tournament will be forwarded to entrants as soon as is practicable. Further information will be forwarded on entry acceptance. An entry fee of $165.00 (incl. GST) per team is payable within seven (7) days of confirmation of entry. **