BILLIARDS & SNOOKER ASSOCIATION ACT (INC)
INDIVIDUAL NOMINATION FORM
Date
2011 STATE SNOOKER                 $25
2011 STATE BILLIARDS                 $25
2011 A GRADE SNOOKER            $15
2011 A GRADE BILLIARDS            $15
2011 B GRADE SNOOKER            $15
2011 B GRADE BILLIARDS            $15
2011 HCP SNOOKER                     $15
2011 TARGET BILLIARDS              $15
YOUR NAME
 POSTAL ADDRESS
EMAIL ADDRESS
BILLIARDS TARGET or
SNOOKER HANDICAP
CONTACT TELEPHONE #
All nominees must be financial members of the BSAACT (see Membership Form).
TOTAL FEES OWING
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NOMINATION FORM FOR BSAACT INDIVIDUAL
BILLIARDS AND SNOOKER CHAMPIONSHIPS