MIA Entry Form

Surname
Given Name
Gender	Male Female
Club
Date of birth	dd.mm.yy
Address1
Address2
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Phone during tournament
My Tennis ID optional
Email Address Events Events Entered	* * Please check carefully you have your email address entered correctly To enter the Silver AMT and JT points events please go to http://www.tournaments.tennis.com.au Open Mens + Womens Singles $60 each - There is no qualifying for singles Open Mens + Womens Doubles $60 pair U14 and U12 JT Singles $30 U14 and U12 JT Doubles $30 pair You may enter in a maximum of 4 events Junior Events listed as U indicates & Under as of June 30 2019

1st Event
Partner (if Doubles)
2nd Event
Partner (if doubles)
3rd Event
Partner (if doubles)
4th Event
Partner (if doubles)
5th Event
Partner (if doubles) *AR events*	* In addition to the above events, indicate below your intentions regarding the Australian Ranking events. Online entry for these events is via the TA website http://www.tournaments.tennis.com.au I AM NOT entering any of the points events I WILL BE entering my points events via the TA website soon I HAVE ALREADY entered my points events via the TA website

Time available to play on Saturday

Special requests - exemptions etc.
Payment Method Total Entry Fee	Visa Mastercard AMEX Paypal Visa, Mastercard, Amex or Paypal payments to be made after you have entered below with the Send Entry button by going back to the first page and then selecting Pay Fees under where you clicked Enter Tournament. There is NO payment on site option for 2019 - all entries must be pre paid.

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