AT LAHINCH BEACH SEPTEMBER 19th & 20th 2009

NAME:_____________________________________

ADDRESS:______________________________________________________________________________________________________________________________________________________________________

TEL:________________________________________

EMAIL:______________________________________

CLUB:_______________________________________

ISA NO: ____________________ (ISA NUMBER ESSENTIAL)

LONGBOARD 9’ AND OVER

ENTRY FEE €15.00 (payable to West Coast Surf Club) before 6th September 2009

Numbers limited!!

TShirts also available to buy please circle your size s, m, l, xl

Please post entries to:

Cliodhna Fawl, C/o Lahinch Surf Shop, Old Promenade, Lahinch, Co Clare

CONTACTS

Cliodhna Fawl 086-3366023

cliodhnafawl@iol.ie

Alan Black 087-6341458

Dave Collins 087-8036963

Noel Cronin 0861040437