Application Form

Tournament Dates:
October 25th and 26th 2014

Team Details

Team/Club name:
Team colour:
Town/Country of origin:
Number of player:
(minimum 12, maximum 20)
Total number of squad members:
(players, coaches, supporters etc)
Contact person:
Contact number:
Fax:
Contact Email:
Address:
 
Entry is not guaranteed until payment is received (12,000 baht per team). The payment deadline is 17th October 2014. Please include the team name as a reference when making the payment.

Please transfer the payment to:
SAUS RUGBY CLUB

Account Number: 383 2 32551 0
Kasikorn Bank, T. Moonmuang Chiang Mai Branch, 205/3-6 Moonmuang Road, T. Sripoom, A. Muang, Chiang Mai, Thailand 50200
Swift Code: KASITTHBK
* please confirm by sending the remittance slip to
info@chiangmaitigers.com