EmailMe Form - Summer Badminton Tournament

Event Entered *
Mixed Doubles
Ladies Doubles
Mens Doubles
Player Name 1 *
First Last
Player Name 2 *
First Last
Player 1 Date of Birth *
DD / MM / YYYY
Player 2 Date of Birth *
DD / MM / YYYY
Player 1 Phone Number *
Player 2 Phone Number *
Player 1 Email Address *
Player 2 Email Address *
Player 1 Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Player 2 Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
To pay the entry fee via internet or telephone banking please use the following details:
Account Name: Ajay
Sort Code: 40-28-04
Account Number: 11290703

Please make sure you use your names as the payment reference.

Amount paid online:
£ Pounds . Pence