Club ______________________________________ Name ______________________________________ Address ______________________________________ Contact Telephone _____________________________ Email ______________________________________ Number of Entries x £5.50 Total £ Number of Coaches Passes (1 Day) x £10.00 Total £ Total Remittance £ Cheques should be made payable to Swimming Club’ and posted along with a completed ‘Thurrock Club Entry Financial Summary form to the address below Mr Sean Jarvis Thurrock Gala Secretary 11 Brandon Close Chafford Hundred Essex RM16 6QX For club payments via BACS please contact for details. Reference for BACS must be 3ER180061-Club Name Summer Sprint Gala 2018 Individual Entry Form Club ______________________________________ Name ______________________________________
Club ______________________________________ Name ______________________________________ Address ______________________________________ Contact Telephone _____________________________ Email ______________________________________ Number of Entries x £5.50 Total £ Number of Coaches Passes (1 Day) x £10.00 Total £ Total Remittance £ Cheques should be made payable to ‘Thurrock Swimming Club’ and posted along with a completed Club Entry Financial Summary form to the address below Mr Sean Jarvis Thurrock Gala Secretary 11 Brandon Close Chafford Hundred Essex RM16 6QX For club payments via BACS please contact for details. Reference for BACS must be 3ER180061-Club Name Summer Sprint Gala 2018 Individual Entry Form Club ______________________________________ Name ______________________________________
Thurrock-Summer-Sprint-Gala-Conditions-and-Schedule-2018-3ER180061.docx