Name of County Delegate: __________________
Address:__________________
__________________
Tel No:__________________
Entry Fee £22.50 Per Team together with this form
to be received before Closing Date (29.01.01) by T.Bollard,
3 Beechwood Park, Dun Laoghaire, Co.Dublin,
Tel: (01) 2801312. Mobile: 087 - 6737872.
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Standard of Players
Please indicate the standard of your players where possible against the ability of a player who may be known to us, i.e. a player who may be ranked at Provincial or Irish Level:
We confirm that the players qualify to play for their County and are Ranked in order of Strength.
Signed:___________________
Dated:___________________