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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
"ANNEX A TO (DOC)"