Website: www.newcastlesnooker.com.

au
PRESIDENT

TREASURER

D.J. (John) Hicks

3 Rees Street
WANGI WANGI NSW 2267
4975 2725
Mobile: 0411 205742

Ross Johnson
20 George Street
WALLSEND NSW 2287
4953 8193
Mobile: 0418 538199

SECRETARY
E.J. (Joy) Hicks
3 Rees Street
WANGI WANGI NSW 2267
4975 2725
Mobile: 0431628776
Email: jojohicks@bigpond.com

PERSONAL REGISTRATION FORM FOR THE 2013 FINANCIAL YEAR

(Please complete all sections and sign forms individually)
To be returned to the Secretary
Joy Hicks - 3 Rees Street, WANGI WANGI NSW 2267
Players Surname..........................................................Christian Names..............................................................................
Date of Birth...................................................................
Postal Address..............................................................................................................................................................................
Postcode.......................................................Phone Number.....................................................................................................
Mobile Number...................................................................................
Email Address................................................................................................................................................................................
Name of Club..................................................................................................................MB/Ship No......................................
Club Where Player Last Registered.............................................................................................Year...............................
PERSONAL REGISTRATION FEE OF $30.00 TO BE FORWARDED TO THE SECRETARY
FOR THURSDAY'S OVER 50'S COMPETITION ONLY - THE REGISTRATION FEE WILL BE $15.00

Signed...........................................................................................................

Date...............................................................................................................