ANNEX A TO (DOC)

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					                                                                       ANNEX A TO
                                                                       RLC RUFC/BW/10-11
                                                                       DATED 19 NOV 10


BARLOWORLD SHIELD / SIR CECIL SMITH CUP ENTRY PROFORMA


1.        Unit Title:      _______________________________________________________

2.        Unit Address:_______________________________________________________

                          _______________________________________________________

                          _______________________________________________________

3.        OIC Rugby: _______________________________________________________

                          __________________________ (Contact Tel Nos and Email)

4.        Team Colours:        ____________________________________ Primary

                               ____________________________________ Alternative

5.    Competitions.            This unit wishes to enter the respective RLC Competition for the
season 2010/11:

          a.      Barloworld Shield 10/11. Yes/No* (All UK RLC Units). Should the unit be
          victorious availability for the Eassie Shield is confirmed, Yes/No* (no fee).

          b.      Sir Cecil Smith Cup 10/11. Yes/No* (17 P&M and 23 Pnr Regts only).

6.    Entry Fees. Entry Fees for each competition are £50 per team. Entry fees of
_______________ are enclosed. (All cheques to be made payable to Central Bank RLC
Depot

7.     Affiliation and Insurance. I confirm that the above team is affiliated to the ARU and
that RFU Insurance is held.


Signature:                           ___________________________

Name, Rank and Appt:                 ___________________________

Tel, Fax and Email;                  ___________________________



NIL RETURNS ARE REQUESTED.


*
    Delete where applicable.
                                             A-1
                      TO BE RETURNED TO THE RLC RUFC SEC BY COP 10 DEC 10

				
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