Middlesex Rugby
Referee Education Evening
at Ruislip RFC
Managing the Tackle Area’
A referee education evening on
Wednesday November 14th 2007 at Ruislip RFC West End Road, Ruislip, Middlesex, HA4 6DR
Starting @ 19:30
Open to all non-society and club/school referees Entry by application – £5.00
Application form for Referee evening
pre-register, sending form & payment to lindsaypiper@rfu.com
REFEREE DEVELOPMENT Referee Education Evenings
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Date of birth if under 18
Cost per person is £5
Please return this form with cheque payable to Rugby Football Development Ltd or
CC details to Lindsay Piper Referee Dept The RFU Rugby House Rugby Road Twickenham Middx TW1 1DS
If paying by Cheque please put your name and address on the back with the course venue
Payment Type:Cheque Amex Mastercard Visa Switch Delta (Delete as necessary)
Card Valid from :Expiry Date Security No IssueNo (Switch Only
