Cottam Cup Entry Form Club Name Team Member Association Member Association Contact Member Association Contact Referees Association Referees Association Contact Team Contact Name Team Contact Phone Team Contact E-mail Home Venue Name Venue Address Entry Fee (inc GST) $500 must be paid at time of nomination to GDSFA BSB 062 252 ACC 10089530 Please reference payment with Cottam Cup and Club name A copy of the remittance must be emailed to office@granvillesoccer.com.au What weekday do you prefer to play? Competition scheduled to begin the week of 15th April Date Submitted Send