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Senior Mens Contact Details
Your name
Your address
Telephone number - Home
Telephone number - Work
Telephone number - Mobile
Email address

International Playing Career 
Years played - From To Number of Caps  
Clubs represented  

Other Welsh International player contacts you have kept
Name
Address
Telephone number
Email

Name
Address
Telephone number
Email

Name
Address
Telephone number
Email

Sponsorship contributions
I would like to contribute the following to the 2007 playing fund - Please select



£250 Squad members financial contribution for 2007

£1000 Hotel costs for the squad at a preparation tournament

Please make cheques to WHU U21 a/c


I look forward to making contact with you and arranging a hospitality event where and when it is suitable.

Andy Bevan, Sponsorship and Public Relations Coordinator
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Magic Moments