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RomTennisNZ Cup - Entry Form

Name  *
Surname  *
Address *
Club
Association
Configure Rankings Code
Gender *
Date of Birth  *
Home Phone  *
Mobile
Email  *
Select Event *
Emergency Phone Number  *
Emergency Contact Person  *
Special Health Condition
I Agree with all terms and conditions of the RomTennisNZ Cup
I Agree
 *
I give the permission to the organizers of the competition to use my name, video or photos which might be taken during the competition, for advertising and promoting this event
I Give Permission
 *
Other comments
Entry Fee of $25 / participant / division Paid by
 *
Internet banking: ASB 12-3136-0126933-00, Reference: Applicant’s name
Cheques: Make payable to Doina-Community of Romanian Aucklanders Inc
 

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