BRITISH YOUTH STAMP CHAMPIONSHIPS 2012

Sponsored by Stanley Gibbons 

ENTRY FORM 

Please complete in full using BLOCK CAPITALS.

 Full name  ……………………………………………………

Address ……………………….………………………………

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Post code  ……………………….

Home telephone number  …………………………………………

E-mail address  ……………………………………………………

Age as at 1 September 2012  …………..

 I wish to enter the following ONE class (please tick relevant box):

Class A (19 to 21 years old)                   [    ]       Class D (12 and 13 years old)      [    ]

Class B (17 and 18 years old)                 [    ]       Class E (under 12 years old)         [    ]

Class C (14 to 16 years old)                   [    ]

Title of entry  ……………………………………………………………………

 Brief description of entry (no more than 15 words)

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Has this entry, and a part thereof, been entered into another competition? If ‘yes’,

please give details of the two most recent, and the awards received.

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Number of sheets being entered (note that the minimum number is 16)  ……………

To be signed by parent, guardian or stamp club leader:

I confirm that the entrant understands the rules of the competition, and that this entry

is the sole work of the entrant.

 Signed ……………………………………. (Position: ………………………………)

Please tick this box if you prefer that the name of the entrant is NOT included in any

publicity relating to this competition       [   ]

Please tick if the entrant will be at Autumn Stampex on 29 September [   ]