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Austackle Fishing Competition Registration Form
Register here and we will phone to arrange payment by Credit Card
Cost
Register an ADULT - Fishing Comp - Sunday May 17th 2015 @ $40 each
Register a FAMILY - Fishing Comp - Sunday May 17th 2015 @ $90 each
Register a CHILD - under 16 - Fishing Comp - Sunday May 17th 2015 @ $15 each
Total Cost :
Austackle - ANGLER'S DETAILS
* First Name :
: Surname
* Adult or Child :
* if Child please include age
* Land, Boat or Kayak Fishing :
* Car Rego :
* Address :
* Suburb :
* City / Town :
* Postcode :
* Anti Spam :
* Domestic pet, 3 letters lower case, says meow
* Phone :
* Cell Phone :
* Email :
* Important
Name/s of Adults and Children :
entering the Competition :
Please include ages of children :
SUBMIT YOUR Competition FORM & we will phone you for payment details by Credit Card
or pay by Direct Deposit : BSB: 484-799 Account No: 130454583
First Name of Person Paying :
: Surname
Select Payment Method :
Please Select Method
Phone me for Credit Card Details
Will make a Direct Deposit
Amount
$
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Fishing Comp Registration Form by Stephen Jones