2008 GRAFTON BRIDGE
TO BRIDGE SKI RACE TO BRIDGE SKI RACE
APPLICATION TO ENTER
Entries Close: 31st August, 2009
All Fields are mandatory
Class No Entered:
Note: 1 Entry to be completed per class entered
Payment Amount
Entries Sunday @ $275:
$
Entries Saturday @ $50:
$
Total Entry Fees Due:
$
Boat Details
Boat Name:
Hull:
Engine Make:
Engine Capacity:
Contact Details For Entry Enquiries
Name Of Contact Person:
Postal Address:
Phone (AH)
Email:
Driver/Observer Details
Driver Name:
SRA No:
Observer Name:
SRA No:
Skier Details
Skier 1 Name
SRA No:
Skier 2 Name:
SRA No:
Payment Details
Electronic Transfers
Cheque Payment
Credit Card
BSB:
704-328
Name:
Zone 3 Ski Racing Inc
Account:
208416
Please fax remittance to 02 66425904
Cheques Payable To
Zone 3 Ski Racing
Address:
PO Box 724
Grafton NSW 2460
Bank Name:
Account No:
Cheque No:
Card No:
Exp Date:
Name On Card:
Contact Ph No: