ENTRY FORM

ARCHERY ACADEMY & HOYTUSA
11th Australian Indoor Archery Championships, Adelaide, 2003


Please complete the following form (one entry per form), then print it out (specify pages 1 to 2 - check via "File - Print Preview") and mail it with your payment to:

Australian Entrants: your Recognised Governing Body's Secretary by 21st April, 2003

Overseas Entrants & Recognised Governing Bodies' Secretaries: the address on the bottom of the form, to arrive no later than 28th April, 2003.

(Secretaries of Recognised Governing Bodies are to verify each entrant's affiliation and sign in the space provided at the base of the entry form.
Overseas entrants should advise their Association of their entry.)

Name:
Street No:
Street:
City: State/Territory:
Country: If "other":
PostCode:
Club:
Contact Telephone No:
Facsimile No:
eMail Address:

Date of Birth (*Veterans & Juniors):   
(*Veterans and Juniors as at 28th June, 2003)

I confirm I am an affiliated member of Archery Australia through:

If member of other FITA affiliate:

Category:                

Bow type:

Compound: Barebow Compound: Crossbow:
Recurve: Barebow Recurve: Longbow:

Target face type requested:

Single        Triple Vertical

Special arrangements   
I have the following special needs:
Wheelchair: 		Dietary (use comments box below):
Medical (use comments box below):   Other (use comments box below):

Highest score shot since 1st April, 2002:    FITA Indoor I: (possible score: 600)

Lunches will be available at the venue (pre-ordering is not required).

Additional comments:

Costs:

Events Open, Veterans, Juniors $AU
Indoor $45
Late entry fee (entries after 1st May) 50% additional payment ($22.50)
Judging Levy $10 $10
Number attending the Social Event on Saturday evening (at $10 per head) x $10


Total payment enclosed $AU

Signed:_____________________ (Recognised Governing Body Secretary)

Date:________________, 2002/2003

Please make cheques payable to "2003 Adelaide Indoor Nationals"

All correspondence to:

Mr Bruce Lang, Secretary
Adelaide Indoor Nationals
11 Tallala Terrace
MYRTLE BANK SA 5064


Alternatively, you can download a PDF of the entry form (94Kb - you'll need Adobe Acrobat Reader) and you can fill in the entry form on-line (click in the boxes on the form) or in the traditional pen and paper way! CLICK HERE

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