PFT 2008 ENTRY FORM
Boxes with * must be filled in

Please fill in form and press submit at the bottom of the form to send the details:
Note that Children 12 years old and under are free!!! Please note the child's age after their name or just insert number in dinner figures if they are not fishing.

  Team Name :

* insert N/A if individual angler
Boat Name: * insert N/A if individual angler
Contact Details:
(email, phone, mobile phone)
*            
Team Captain  / Angler 1:     
  Comments :
Angler 2:     
  Comments :
Angler 3:     
  Comments :
Angler 4:   
  Comments :
Angler 5:      
  Comments :
Angler 6:      
  Comments :

27 Meg Radio: Yes or No:  

*   VHF Radio; Yes or No:  *
Staying At:

Do you wish to be placed on a Boat (crew)?   yes           
Do you need Crew?   yes      If yes then how many
?: 

How many Adults for Saturday Night Dinner:

How many Children for Saturday Night Dinner:
Children 12 years Old and Under are free!!

Entry $60.00:  Qty    at $60.00 each equals $              *

Please make entry payments payable to "Pakula Friendly Tournament". Please note that payment is be either:
Bank Cheque or Money Order. No personal Cheques are acceptable.
or deposit to the following Westpac account:
Account Name: Pakula Friendly Tournament
BSB: 032002
Account Number: 485554
Please include description (i.e. team name or similar) and details so we can track your payment.

The contestant hereby indemnifies the 'Pakula Friendly Tournament 2008', its committee and associates, organisers and sponsors of the 'Pakula Friendly Tournament' 2008 against any claim, how so ever arising out of the running or organising of the 'Pakula Friendly Tournament 2008'  whether due to the negligence or action or miss-statement of the committee or organisers/helpers and associates.

To accept the above indemnity clause please type the word "Yes" in the box below.
*

Please get this form and payment to us ASAP.
Please print out this form and send a copy plus your payment to:

     Brett Chain
     Chain's Mowers and Chainsaws
     Cnr Windsor Rd & Nelson Rd
     Box Hill
     NSW 2765

Please take a second to confirm all the information you have entered is correct. Please make sure you have printed a copy of this page before pressing the Submit button which will forward the entered information to us.
Please note that a confirmation page will come up once you hit the submit button.


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Please email any changes in your team to  PFT@klcc.com.au