PRO-AM CELEBRITY FOOTBALL MATCH
BID TO PLAY WITH THE PROFESSIONALS
THE CHANCE OF A LIFETIME     
SATURDAY 10th MAY 2008
please complete all the boxes:

Surname:  *
First Names:  *
Contact E-Mail:  *
Contact Phone:  *

 Address:

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Post Code:

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                                                                  Code :   DO NOT AMEND
   

        I wish to bid to play with the professional team
   

MY BID:

    £  *   Minimum bid £100
   
  * Required Fields
         
         

Thank you for completing the Form, you will be contacted by e-mail if your bid is successful before the event.