ECMC Quiz Night Entry Form

Online Entry Form

ECMC Quiz Night

Saturday 16th November 2024

Horringer Community Centre
Team Leader Details:
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

Town/CityState / Province

Post Code
Mobile*
E-mail Address*
for Entry Confirmation & Final Instructions
Your Team Name*
Number of team members (inc. yourself)*
Names of your team members*
Please enter the names of all the members of your team
Entry Fee:
Entry fee is £7 per head which includes the finger buffet. There will be a bar next door for drinks.

Note: This is a different bank account to last year, so please make sure you are using the correct account details.

Your entry is provisional until your payment has been received and verified.

Please perform a bank transfer to the following account:
- Account Name: "Eastern Counties Motorsport Club"
- Account Type: Business
- Sort Code: 23-05-80
- Account Number: 51481356
Please use the Team Leader Name as the Payment Reference
Should be Empty: