MINI-SEASON: 4/4 GAME: 06/12

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Message: 20.03.08

There appears to be a problem with the automated prediction form. If you are having problems submitting please email me directly: Submit Prediction to predict@dsl.pipex.com

or submit by text message to: 07854-813633

Please enter your prediction league exactly as in the list below if possible.

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Wolves vs QPR Kick-off 15:00pm on Saturday, March 22nd at Molineux

Full Name:

Your Email Address:

Your Prediction League: (Please select)Premier_LeagueFirst_DivisionSecond_DivisionThird_Division Conference_OneConference_TwoConference_ThreeNew_Entrant

Wolves: (select goals) Wolves 0 Wolves 1 Wolves 2 Wolves 3 Wolves 4 Wolves 5 Wolves 6 Wolves 7 Wolves 8 Wolves 9 Wolves 10 vs. 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

Goalscorer: (Choose from list below) - - - - - - - NO QPR SCORER (1pt) - - - - - - - No QPR Goalscorer - - - - - - - OWN GOAL (2pts/goal) - - - - - - - Own Goal - - - - - - - STRIKERS (1pt/goal) - - - - - - - 17.Patrick Agyemang 36.Angelo Balanta 09.Dextor Blackstock 26.Rowan Vine - - - - - - - MIDFIELDERS (2pts/goal) - - - - - - - 11.Gareth Ainsworth 23.Stefan Bailey 10.Akos Buzsaky 25.Hogan Ephraim 32.Mikele Leigertwood 04.Gavin Mahon 14.Martin Rowlands - - - - - - - DEFENDERS (3pts/goal) - - - - - - - 03.Chris Barker 16.Matthew Connolly xx.Damien Delaney 29.Fitz Hall 21.Kieran Lee 06.Michael Mancienne 28.Zeshan Rehman 05.Damion Stewart - - - - - - - GOALKEEPERS (5pts/goal) - - - - - - - 01.Lee Camp 12.Jake Cole 35.Chris Goodchild

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).