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PREMIER LEAGUE

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<strong>PREMIER</strong> <strong>LEAGUE</strong><br />

Form 33<br />

FIXED PENALTY NOTICE (Rule W.4)<br />

To:<br />

Date:<br />

You are in breach of Rule<br />

in that on [date]<br />

you [description of breach, indicating in appropriate cases whether it is a first, second or third breach of that Rule]<br />

You are required within 14 days of the date of this notice to pay a fixed penalty of £<br />

Alternatively, you are entitled within that period to appeal under the provisions of Rule W.61.1. If you appeal and<br />

your appeal is dismissed the fixed penalty becomes payable forthwith.<br />

Failure to pay the fixed penalty as required by this notice or forthwith upon any appeal being dismissed will<br />

constitute a breach of the Rules of the League in respect of which you will be liable to be dealt with under the<br />

provisions of Section W.<br />

<strong>PREMIER</strong> <strong>LEAGUE</strong> FORMS<br />

Signed<br />

Secretary, for and on behalf of the Board<br />

301

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