Performa
Boat Team Wales – 2012 Trials

Name                                           Address                                    Eligibility
(print) -------------------------      ------------------------------------     (a) Welsh National.
(signature) --------------------     ------------------------------------     (b) Welsh born Parent.
                                                 --------------------------------------     (c) A qualifying period of
                                                 --------------------------------------     current three years residence
                                                 --------------------------------------     in Wales and a member of a
                                                Post code ---------------------------      club which is affiliated to the
Club/s ------------------------    Telephone no ----------------------     WFSA and has been so
 --------------------------------                           ------------------       affiliated for three consecutive
 --------------------------------    E-Mail    ------------------------      years (tick the appropriate letter).

Angling Background and any notable Achievements.

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Boat Team Wales – Trial Dates / Venues 2012
Date              Venue                 Sailing Times                      Price                Type of angling
 June   9th    Holyhead              08.30 – 17.00       £370.00 ÷ 8 = £ 46.25     Anchor and Drift
 June 10th    Holyhead              08.30 – 17.00       £370.00 ÷ 8 = £ 46.25     As Above.
 June 23rd    Holyhead              08.30 – 17.00       £370.00 ÷ 8 = £ 46.25     As Above. 
 June 24th    Holyhead              08.30 – 17.00       £370.00 ¸ 8 = £ 46.25     As Above.
                                                                               Boat Fees      £185.00   (If all spaces are filled).                              
A £20.00 levy is also payable, this money will be held in the International Boat Fund.  The total raised will be divided equally between the qualifying squad members from these trials.
A deposit of £30.00 is required to secured a position, cheques should be made payable to – W.F.S.A. and be in no later than January 8th. Full payment by March 1st.
Please return the upper section plus deposit / full payment to: -
                                              Mr R. W. Roberts
                                              27 Ty Croes Estate
                                              Llanfairpwll
                                              Anglesey
                                              LL61 5JR               
' 01248 – 714139 (after 6.30pm) or 07710 010781 during the day.