THE CROQUET ASSOCIATION OF IRELAND ENTRY FORM

QUALIFYING TOURNAMENT FOR IRISH PLACES

TO BE HELD ON 31 MARCH AND 1 APRIL, 2007 AT

CARRICKMINES

FOR THE WCF WOMEN'S WORLD GOLF CROQUET CHAMPIONSHIPS, 2007

To Nathaniel Healy

Hon. Sec. Croquet Association of Ireland

Newcastle House,

Newcastle,

Co. Wicklow

Name:

Address:

I wish to enter for this event. I enclose a cheque/cash for EUR10 (EUR 27 for those not paid up

members of the CAI). I confirm that I will be available to play in the Championships from 3 to 9

September next if I qualify.

Signed