FOOTBALL FOR FANS Director : Jeff Garner
Panorama, Kellington Road
Presents Canvey Island, Essex SS8 8EL
Mob : 07941 877570
www.footballforfans.co.uk E-Mail :
Reg. No : 6152555
Vat Reg. No : 919 2837 93
MATT LE TISSIER MINI-SOCCER TOURNAMENTS/FESTIVALS (3RD YEAR)
AT ST MARY’S STADIUM
SAT 28TH MAY 2011 (TO BE CONFIRMED)
APPLICATION FORM - PART 1
Club Name…………………………………………………………………………………………….....
Town and County………………………………………………………………………………………..
Affiliation Number (if applicable)………………………………………………………………………..
Tournament Age Group (this season’s age groups apply – ID Cards Required).…………………
*Contact’s Name…………………………………………………………………………………………..
Contact’s Address………………………………………………………………………………………..
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Contact’s E-Mail Address……………………………………………………………………………….
Contact’s Tel No (Home)………………………………………………………………………………. ..
Contact’s Tel No (Mob)…………………………………………………………………………………..
No. of Players …………………………………………………………………………………………….
Entry Fee £42.50 (+ vat) per player. *TO BE CONFIRMED* Discount(s) available for additional team(s) from the same or other clubs (any age group).
DVD’s (optional – details to be advised).
Send Application Form as an e-mail attachment to or post to the above address
* Please note that the onus is on the club contact to be aware of the Terms and Conditions which can be found in the Downloads section of the website www.footballforfans.co.uk and to advise the appropriate parents/guardians accordingly.
PAYMENT DETAILS
1) Barclays Bank PLC
Sort Code : 20-04-96
A/C Football For Fans Limited
A/C No : 60212997
Ref : your name or club name
2) Cheques to be made payable to “Football For Fans Ltd” and sent to :
Jeff Garner
Panorama
Kellington Road
Canvey Island
Essex SS8 8EL
3) Please enquire if you wish to make a card payment.
APPLICATION FORM - PART 2
* Please note this form can be completed at a later date
Club Name………………………………………………………………………………………………..
Tournament Age Group (this season’s age groups apply – ID Cards Required)…………………
Town & County Club Representing…………………………………………………………………….
Club Colours (please bring alternative colours where possible)
Shirts …………………………………………….
Shorts…………………………………………….
Socks…………………………………………….
Team Line-Up (players names and numbers as you wish them to appear in programme and on the certificates – please ensure names are spelt correctly). Please put goalkeeper’s name first and show (c) against the captain.
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Manager’s Name………………………………………………………………………………………..
Coach/Physio’s Name…………………………………………………………………………………..