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Promoter : R. Bradford, Queen of the South F. C. Palmerston Park, Dumfries Registered under the Small Loteries and Gaming Act. To be drawn on Thursday 31st May 2001, at 7:30pm in the Queen of the South Lounge Bar I enclose my remittance of £300 and request my name be entered in the Prize Draw I am / am not interested to learn of other forms of advertising / sponsorship Name : _________________________________
| Address : _________________________________
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| Company Name : _________________________________
| Tel. Number : _________________________________
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