GWYN WILLIAMS MEMORIAL FLY FISHING COMPETITION SATURDAY 16TH MAY 2015 Entry Fee: £20.00 to include cost of fishing and bacon roll and hot drink on arrival. In addition competitors are required to raise a further £25+ in sponsor money, which will be collected when you arrive on the day, and donated to Help for Heroes. To secure your place, please complete the form below* and return with your entry fee of £20 to Linda Kilby, Cwm Hedd Lakes, Croesheolydd Farm, Bassaleg Newport NP10 8RW, Please do not send cash in the post. Cheques should be made payable to L J Kilby. Alternatively, bring your completed entry form tothe Lodge, where cash can also be accepted. Competitors will receive confirmation of entry, and information pack and sponsor forms once payment has cleared. Name_____________________________________________________________________________ House name / number________________________________________________________________ Street_____________________________________________________________________________ Town/city_______________________________Post code________________________________ Telephone Home_____________________________________________________________ Mobile____________________________________________________________ E-mail __________________________________________________________________ I agree to abide with the rules of Cwm Hedd Lakes and the competition rules of the day Signature *your details will only be used to contact you in relation to the competition and will not be passed on to any third party Linda Kilby Cwm Hedd Lakes, Croesheolydd Farm Bassaleg Lodge telephone 01633 896854 mobile 07813 143 034 www.cwmhedd.co.uk - e-mail : [email protected]
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