TEAM REGISTRATION
Team Name Address
Contact Telephone Number Team Members
1 Name
H/Cap
Email address 2 Name
H/Cap
Email address 3 Name
H/Cap
Email address 4 Name
H/Cap
Email address
Additional Dinner Guests (£10 per person) Please indicate any dietary requirements
SUMMARY We enclose a cheque made payable to Francis Clark LLP for £______________ as follows: Entry of _________ team(s) @ £250 per team
£
Additional Meals @ £10 per meal
£
Donation to the Charity
£ £
Signature______________________________ Date________________