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     THE PEARSON TROPHY INTER COUNTY MANAGEMENT COMMITTEE
                                                            PEARSON TROPHY ENTRY FORM 2011/12
Clubs wishing to participate in the above competition must complete the form
printed below, detach and send it to the member of the Committee of Management representing their County, together with the entry fee of £30.00 by  31st August, 2011.

Matches may commence from 1st November  2011.

Hertfordshire                              Mrs Wendy Durrant              Tel: 01923 829831
               10, Hedgeside Road,               
               Northwood,
               Middx. HA6 2NX

Kent                                Mrs Chris Corke                               Tel: 01732 842550
               18 The Croft                               Mob: 07949 498128
               Leybourne
               West Malling
               Kent ME19 5QD

Middlesex                            Miss Mandy Moore                           Tel: 0208 881 4643
               Flat  2, 262, Albert Road,
               Alexandra Park,
               London.
               N22 7UW

Surrey                                Mrs Hazel Corstin                     Tel: 01483 222781
               The Old School House,
                                                School Lane,
               East Clandon,
               Surrey GU4 7RS
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Please detach and keep the top half of this form. ....................................................................................................................................................

OFFICIAL ENTRY FORM - PEARSON TROPHY 2011/12

Name of Club    ………………………………………………….GC

Enclosed please find the Entry Fee of £30.00.
Cheques or Postal Orders to be made out to your County Manager named above.

Signed …………………………………………………Lady Captain or Hon. Sec.

Please fill in the name, address and telephone number of the Pearson Trophy Captain.

Pearson Trophy Captain …………………………………………………………….

Address: ………………………………………………………………………………

Telephone No: ……………………………………….. Date:……………………….

Email address:..........................................................................................







Copy of Entry Form.