Team Name ____________________

Contact Name ____________________

Address __________________________________________

Phone Number – home _______________

Phone Number - work _______________

Fax Number _______________

Email address _______________

Team entry fee is $250 payable by Friday 6^th December 2002. This fee is reducible to $180 if paid by Friday 22^nd November 2002. A $50 deposit is required with team entry. Please return your entry form with a cheque made payable to "Hutt Valley Twilight Cricket" for $50 by 25^th October 2002 to:

Hutt Valley Twilight Cricket

23 Haig St

Lower Hutt

For any queries on the above please phone Kevin Patterson (evenings) at 566 0975.