CHANGE OF NOMINATED LEAGUE CONTACT

Clubs should note all information sent from the South West Administration Office is sent to the Club's Nominated League Contact.  If you have more than one team remember to complete one of these screens for each team.

Once all the details have been entered please press SUBMIT at the bottom of the page

Club Name :	Team  1st XV 2nd XV 3rd XV 4th XV
League:	Select League from List Berks, Bucks & Oxon Prem Berks, Bucks & Oxon Prem A Berks, Bucks & Oxon 1N Berks, Bucks & Oxon 1S Berks, Bucks & Oxon 2N Berks, Bucks & Oxon 2S Cornwall/Devon Cornwall 1 Cornwall 2 Devon 1 Devon 2 Dorset & Wilts 1N Dorset & Wilts 1S Dorset & Wilts 2N Dorset & Wilts 2S Dorset & Wilts 3N Dorset & Wilts 3S Dorset & Wilts 3W Gloucestershire Premier Gloucestershire 1 Gloucestershire 2 Gloucestershire 3 Somerset Premier Somerset 1 Somerset 2 North Somerset 2 South Somerset 3 North Somerset 3 South South West 1 South West 2 East South West 2 West Southern Counties North Southern Counties South Western Counties North Western Counties West
Name of Current Nominated League Contact:
Date Change is effective:
Name of New Nominated League Contact:
Email Address:
Address (including postcode): As material is sent all year round it is suggested a home address is given rather than a clubhouse as important items of mail (including fixtures and registration forms may be lost).
Home Telephone Number:
Work Telephone Number:
Fax Number:
Mobile Number:
Your Name: