Registration For 2012 Masters

NOTE: By completing the following form we believe you are making a commitment to play Interassn for Auckland in 2012. If you change your mind before teams have been named in March, please make sure you inform Jack, Ph 524 0872, or email: jack@auckbad.co.nz.

Inter-Association players will be expected to travel within the North Island. Travel and accommodation expenses will be the responsibility of each player. A travel subsidy of $50.00 per player may be given for those required to travel south of Rotorua (finance dependent).

Your Name
Date Of Birth
Auckland Club
Home Phone
Work Phone
Work Extn
Mobile Phone
E-Mail*
Grading

Address
Address
Suburb
City/Postcode
Country	New Zealand

Tick the competitions played in 2011:

Inter-assn: Masters Veterans Supervets

ABA Interclub: Doubles Section
Any Other Details:

Select The Following You Would Like To Participate In 2012

	Price	Full Team Member	Reserve Only
Inter Association - Masters	$75.00
Inter Association - Veterans	$65.00
Inter Association - Supervets	$50.00
Black Heart Tournament - At TBA	$15.00

Payment Is Due When You Register

I Have Finished This Form