Booking Form

BOOKING FORM

Name

First NameLast Name

Joint Entrants Name

First NameLast Name

Distinctions

Street Address

Town

Postcode

Email Address

Your Club

Sequence 1 Title Cost £12.50 includes entry

Length in minutes and seconds max 10 mins

Sequence 2 Title Cost £12.50

Length in minutes and seconds max 10 minutes

1st time entrant. Is this the first time you have entered this competition?

How will you be sending your entry? If posting see address below

I wish to pay by the following method

Total amount paid

Payment details:

Competition entry (up to 2 sequences, plus attendence) £12.50

Joint participants will be charged £20.00. Please add 2nd entrants name here

Attendance for yourself £7.50 (Without any sequences entered)

How to pay – Payments can be made using Paypal by following the instructions below.

Log into your Paypal account.
Click on Pay or send money option.
Click on send money to friends and family option.
Enter email address as follows competitions@kcpa.co.uk
Click on “Add a note”, type in YOUR NAME
Click continue.
Click send money now

Alternatively, if paying via cheque, please make all cheques payable to KCPA and send to 6 Cook Close, Lordswood, Chatham. Kent. ME5 8LU

(Please put your name on the back of cheque)

If you have any questions please email us via competitions@kcpa.co.uk

Kind Regards

Tracy Hughes KCPA President

Philip Smithies Tonbridge CC