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Mercedes - Benz Asian Master Final #9 / Entry Forms

Surname : 
Christian name (s) :
Date of Birth :
Address :
Email :
Date :
   I would like to enter the following Class :
    Boy 12 and under  Girls 12 and under
    Boy 14 and under  Boy 14 and under
    Boy 18 and under  Boy 18 and under
I here by agree to abide by the regulations and conditions of the
Mercedes Trophy Master Tournament.

Signed : Date :

Pentangle Promotions Co., Ltd.
881 Pornpailin Business Point, Onnuch Road, Suanluang Bangkok 10250 Thailand.
Tel. 02-311 3414, 02-311 3415 Fax. 02- 311 3498
Email : geoffrey@pentanglepromotions.com

ENTRIES CLOSE ON 25 APRIL 2011

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