United Kingdom Chinese Table Tennis Association

National Team Championship March 26^th 2005

Entry Form- Season 2005-2006

Team Name ________________________ Senior Junior (U18 by 1/1/05)

Team Captain ____________________________________

Team Secretary ___________________________________

Address _________________________________________

________________________________________________

________________________________________________

________________________________________________

Postcode: _________________

Tel: ______________________

e-mail: ____________________

Players Name National Rating

1. _____________________ __________________

2. _____________________ __________________

3. _____________________ __________________

4. _____________________ __________________

5. _____________________ __________________

We agree to play for the above team in the National Chinese Team Championship and confirm that we shall not representing any other team in the championship.

We understand and agree to comply with the championship regulations.

Payment: Senior team £40, Junior team £30, payable to UKCTTA.org.

Closing date: There will be strictly no team registration after 20/3/05.

Address: 83 Sedcote Road, Ponders End, Enfield, Middlesex, EN3 4RG.

Signature (Team Secretary) ______________________

Date: _____________