Milton/Ulladulla Dolphins Senior Carnival

Milton Ulladulla Basketball Association

PO Box 138, MILTON NSW 2538

Stadium Phone: 02 4455 1575

2010 Bob Higginson Memorial Open Basketball Carnival

When:

30-31 October 2010 Where: Milton-Ulladulla Basketball Stadium, Milton Showgrounds

Nomination Form

Team Name:

________________________________________

Playing Colours:

________________________________________

Competition:

Women’s Men’s (circle one)

TEAM CONTACT: Name:

__________________________________

Address:

________________________________________

Suburb:

_____________________ Postcode: _______

Phone: Home:

( ) __________________ Work: ( ) ____________

Mobile:

All teams will be required to assist with score bench when rostered for Duty and provide a referee.

______________ E-mail: ____________________________

Referees – Each team must provide at least ONE referee.

Referee Name:

_________________________________________

PRIZE MONEY on offer for Women and Men

NOMINATION FEE: $180.00 per team

(minimum 4 games/team)

NOMINATIONS CLOSE: 15 October 2010

Send your nominations to:

Fax: 02 4454 3625 or

E-mail: milton.ulladulla.basketball@gmail.com

Mail: PO Box 138 Milton NSW 2538

Payment by EFT:

A/C Name:

MUBA

A/C #:

218007205

BSB:

Cheque payable to: MUBA

082855 or

Payment required upon

nomination.




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