MINI-SEASON: 1/4 GAME: 08/11

QPR vs Crystal Palace Kick-off 19:45pm on Tuesday, December 4th at Loftus Road

Full Name:

Your Email Address:

Your Prediction League: (Please select)Premier_LeagueFirst_DivisionSecond_DivisionThird_Division Conference_OneConference_TwoConference_ThreeNew_Entrant

QPR: (select goals) QPR 0 QPR 1 QPR 2 QPR 3 QPR 4 QPR 5 QPR 6 QPR 7 QPR 8 QPR 9 QPR 10 vs. Crystal Palace: (select goals) Crystal_Palace 0 Crystal_Palace 1 Crystal_Palace 2 Crystal_Palace 3 Crystal_Palace 4 Crystal_Palace 5 Crystal_Palace 6 Crystal_Palace 7 Crystal_Palace 8 Crystal_Palace 9 Crystal_Palace 10

Goalscorer: (Choose from list below) - - - - - - - NO QPR SCORER (1pt) - - - - - - - No QPR Goalscorer - - - - - - - OWN GOAL (2pts/goal) - - - - - - - Own Goal - - - - - - - STRIKERS (1pt/goal) - - - - - - - 22.Shabazz Baidoo 09.Dextor Blackstock 18.Stefan Moore 08.Daniel Nardiello 30.Marc Nygaard 17.Ben Sahar 26.Rowan Vine - - - - - - - MIDFIELDERS (2pts/goal) - - - - - - - 11.Gareth Ainsworth 23.Stefan Bailey (loaned) 07.Adam Bolder 10.Akos Buzsaky xx.Tommy Doherty (loaned) 16.Jason Jarrett 32.Mikele Leigertwood 14.Martin Rowlands 20.Kieron St.Aimie 34.Scott Sinclair 19.Simon Walton (inj.) 29.Nick Ward - - - - - - - DEFENDERS (3pts/goal) - - - - - - - 03.Chris Barker 02.Marcus Bignot (loaned) 04.Danny Cullip 21.John Curtis 24.Patrick Kanyuka xx.Bob Malcolm 06.Michael Mancienne 28.Zeshan Rehman 15.Dominic Shimmin 05.Damion Stewart 27.Sampsa Timoska - - - - - - - GOALKEEPERS (5pts/goal) - - - - - - - 01.Lee Camp 12.Jake Cole

Please ensure you fill in all the fields in the form. If you are unsure which League you are in please check the Tables before submitting, it is very helpful to me if you include your correct League Table in this form. (Warning: The 'clear' button will empty all inputted data).