Please complete all sections of the form and we will respond to you quickly.
Remember, we are based in the Brighton and Hove area of Sussex<form method="post" action="http://www.emailmeform.com/fid.php?formid=8715" enctype="multipart/form-data" accept-charset="UTF-8">
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<font face="Verdana" size="3" color="#000000">New Player Enquiry Form</font>
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 <td nowrap><font face="Verdana" size="3" color="#000000">Your  Full Name</font></td>
 <td><input type="text" name="FieldData0" size="30"> </td>
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 <td nowrap><font face="Verdana" size="3" color="#000000">Your Email Address</font></td>
 <td><input type="text" name="FieldData1" size="50"> </td>
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 <td nowrap><font face="Verdana" size="3" color="#000000">Your Mobile Number</font></td>
 <td><input type="text" name="FieldData2" size="30"> </td>
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 <td nowrap><font face="Verdana" size="3" color="#000000">Your Date of Birth</font></td>
 <td><input type="text" name="FieldData3" size="30"> </td>
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 <td nowrap><font face="Verdana" size="3" color="#000000">Your Usual Playing Position</font></td>
 <td><input type=radio name="FieldData4" value="Goalkeeper" id="radio40"><font face="Verdana" size="3" color="#000000"><label for="radio40">Goalkeeper</label></font><br><input type=radio name="FieldData4" value="Defender" id="radio41"><font face="Verdana" size="3" color="#000000"><label for="radio41">Defender</label></font><br><input type=radio name="FieldData4" value="Midfield" id="radio42"><font face="Verdana" size="3" color="#000000"><label for="radio42">Midfield</label></font><br><input type=radio name="FieldData4" value="Striker" id="radio43"><font face="Verdana" size="3" color="#000000"><label for="radio43">Striker</label></font><br> </td>
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 <td nowrap><font face="Verdana" size="3" color="#000000">Can you play another position</font></td>
 <td><input type=radio name="FieldData5" value="No" id="radio50"><font face="Verdana" size="3" color="#000000"><label for="radio50">No</label></font><br><input type=radio name="FieldData5" value="Goalkeeper" id="radio51"><font face="Verdana" size="3" color="#000000"><label for="radio51">Goalkeeper</label></font><br><input type=radio name="FieldData5" value="Defender" id="radio52"><font face="Verdana" size="3" color="#000000"><label for="radio52">Defender</label></font><br><input type=radio name="FieldData5" value="Midfield" id="radio53"><font face="Verdana" size="3" color="#000000"><label for="radio53">Midfield</label></font><br><input type=radio name="FieldData5" value="Striker" id="radio54"><font face="Verdana" size="3" color="#000000"><label for="radio54">Striker</label></font><br> </td>
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 <td nowrap><font face="Verdana" size="3" color="#000000">Please give details of playing experience</font></td>
 <td><textarea name="FieldData6" cols="50" rows="10"></textarea><br> </td>
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 <td nowrap><font face="Verdana" size="3" color="#000000">Any other information</font></td>
 <td><textarea name="FieldData7" cols="50" rows="10"></textarea><br> </td>
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 <td nowrap><font face="Verdana" size="3" color="#000000">Do you Drive</font></td>
 <td><input type=radio name="FieldData8" value="Yes" id="radio80"><font face="Verdana" size="3" color="#000000"><label for="radio80">Yes</label></font><br><input type=radio name="FieldData8" value="No" id="radio81"><font face="Verdana" size="3" color="#000000"><label for="radio81">No</label></font><br> </td>
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 <td nowrap><font face="Verdana" size="3" color="#000000"> Full address with postcode</font></td>
 <td><textarea name="FieldData9" cols="50" rows="6"></textarea><br> </td>
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<td class="label" colspan="2"><font color="#FFFFFF" face="Verdana" size="2"><b>Image Verification</b></font></td>
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<td class="captcha" style="padding: 2px;" width="10"><img src="http://www.emailmeform.com/turing.php" id="captcha" alt="captcha"></td>
<td class="field" valign="top"><div><font color="#000000">Please enter the text from the image</font>:<br><input type="text" name="Turing" value="" maxlength="100" size="10">
 [ <a href="#" onclick=" document.getElementById('captcha').src = document.getElementById('captcha').src + '?' + (new Date()).getMilliseconds()">Refresh Image</a> ] [ <a href="http://www.emailmeform.com/?v=turing&amp;pt=popup" onClick="window.open('http://www.emailmeform.com/?v=turing&amp;pt=popup','_blank','width=400, height=500, left=' + (screen.width-450) + ', top=100');return false;">What's This?</a> ]</div>
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<input type="text" name="hida2" value="" maxlength="100" size="3" style="display : none;">
<input type="submit" class="btn" value="Send email" name="Submit">&nbsp; &nbsp; <input type="reset" class="btn" value="  Clear  " name="Clear"></td>
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