10th australian indoor
archery championships
entry form

Please complete the following form and then print it out and mail it with your payment to:
(Only one entry per form)

Australian Entrants: your Recognised Governing Body's Secretary by 21st May, 2002

Overseas Entrants: the address on the bottom of the form, to arrive no later than 28th May, 2002.

(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):

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 14th May, 2001:
FITA Indoor I:

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

Additional comments:

Costs:

Events Open, Veterans, Juniors $AU
Indoor $44
Late entry fee (entries after 1st June) 50% additional payment
Judging Levy $10 $10

Total payment enclosed $AU

Signed:_____________________ (Recognised Governing Body Secretary)
Date:________________, 2002

Please make cheques payable to "2002 Indoor Nationals Archery Committee"

All correspondence to:

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

(*Veterans and Juniors as at 12th July, 2002)

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