Event

Event: / T20 Blast Cricket: Surrey v Sussex
Venue: / The Kia Oval, Kennington, London, SE11 5SS
Date of event: / Friday 22 July 2016
Start time: / 6.30pm
Closing date for entries: / Friday 8 July 2016

Please complete all sections in BLOCK CAPITALS. CSSC membership numbers must be included. You may find it helpful to ‘Tab’ from one field to another.

Section 1: Your Details (Delete as applicable)

Title: / Forename: / Surname:
Gender: / Over 18: / Yes / No
Home Address
Postcode
CSSC membership no.
Home Telephone no. / Work Telephone no.
Mobile Telephone no. / Email
Next of Kin / NoK Contact Tel. no.

Section 2: Advertising

Please indicate how you heard about the event:

Leisure Scene magazine / Other CSSC Event / Friend/Colleague
CSSC Website / Poster in the workplace / Departmental Intranet
Email


Section 3: Entry Fee

Please state how many members/non-members are attending this event.

If they are members please state the membership number and/or non-members please state the names below.

Name / CSSC number (if applicable) / Contact number / Email Address


CSSC Members: £11 ………. Non-Members: £21 ……….

Payment can be made by credit or debit card over the phone. Please call James McGraw on 01494 888 417 with the card details and quote the event I.D 3776

Payment Method: / Total Amount: / £

All cheques should be made payable to “CSSC London” and should accompany the entry form. Please do not send cash.
Refund Policy: No refunds will be given after the closing date.

Section 4 : Event Information

Seating will be in Block 8 – Lower Tier

Section 5: Important Information

Medical: Please let us know if you have any physical or medical conditions

Yes/No (Delete as applicable)

IMPORTANT: These events are active and players should be aware of the physical activities involved. CSSC reserves the right to cancel the event if under subscribed.

All CSSC members taking part in the event are covered by CSSC Sports and Leisure Public Liability Insurance. Please note that this policy is NOT a Personal Accident Policy. Members are encouraged to take out their own insurance policy.

This event is open to your friends or family members. As a reminder, under our Linked membership scheme, up to three of your friends or family members can join CSSC and take part in our events at members’ rate. Membership is also available to staff working in the Public Sector such as NHS, local government, teachers, the police, fire fighters and HM Armed forces personnel.

Once entry forms and payment are received and processed an acknowledgement email will be sent out with further information a week before the event.

Any enquires directly linked to the event please contact James McGraw on 01494 888417 or email

Signed: Date:

Please send all entries to:

Post:

Compton Court
20-24 Temple End
High Wycombe
Bucks
HP13 5DR

Email: