Application Form

To apply to enter teams in The 2008 Banks and Brokers Football Championship please complete the form below.

Please make sure you complete as many fields as possible, including the email details for all squad members. If any of your squad details are likely to change prior to the start of the Championship, please contact us to inform us of these changes giving us at least one week's notice.

It should be noted that each individual, company or organisation may apply to enter up to 4 teams in the Championhsip.

Entry fees are £340.43 (£400 inc vat) per team.

Please read the terms and conditions of entry before completing this form.

Team Name: (Required)

Contact Address: (Required)

Contact Postcode: (Required)

Team Captain

Player 1 surname: (Required)

Player 1 first name: (Required)

Player 1 age:

Player 1 company:

Player 1 job title:

Player 1 email: (Required)

Player 1 tel: (Required)

Player 2 surname:

Player 2 first name:

Player 2 age:

Player 2 company:

Player 2 job title:

Player 2 email:

Player 2 tel:

Player 3 surname:

Player 3 first name:

Player 3 age:

Player 3 company:

Player 3 job title:

Player 3 email:

Player 3 tel:

Player 4 surname:

Player 4 first name:

Player 4 age:

Player 4 company:

Player 4 job title:

Player 4 email:

Player 4 tel:

Player 5 surname:

Player 5 first name:

Player 5 age:

Player 5 company:

Player 5 job title:

Player 5 email:

Player 5 tel:

Player 6 surname:

Player 6 first name:

Player 6 age:

Player 6 company:

Player 6 job title:

Player 6 email:

Player 6 tel:

Player 7 surname:

Player 7 first name:

Player 7 age:

Player 7 company:

Player 7 job title:

Player 7 email:

Player 7 tel:

Player 8 surname:

Player 8 first name:

Player 8 age:

Player 8 company:

Player 8 job title:

Player 8 email:

Player 8 tel:

Player 9 surname:

Player 9 first name:

Player 9 age:

Player 9 company:

Player 9 job title:

Player 9 email:

Player 9 tel:

Player 10 surname:

Player 10 first name:

Player 10 age:

Player 10 company:

Player 10 job title:

Player 10 email:

Player 10 tel:

Accept Terms & Conditions: (Please indicate your agreement by clicking the box - Required)

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