EBOP Kayak Fishing Club 2017 Tournament

Please complete the entry form below to register for the EBOP Kayak Fishing Tournament 2017






Angler Details

Full Name (required)

Address (required)

Town/City (required)

Phone (required)

Mobile (required)

Email (required)

VHF Callsign

Kayak Make and Model (required)

Kayak Colour (required)

Emergency Contact Name (required)

Emergency Contact Phone (required)

I agree to take part in this event at my own risk (required)
YES

Entry Fee Selection

Non-Club Member $40 entry fee – before 27th January 2017Late entry fee $50 entry – up until 6:30pm on 10th February 2017

Note: Payment and entry forms must be in by 27th January to qualify for the early bird spot prize draw

Note: For EBOP Kayak Club members deduct $10 off above fees

Teams Section

Team Entry Fee, $20 per team YES

Team Name

Team Captain

Team Member 2

Team Member 3

Team Member 4

Payment Details

Direct deposit to our Bank Account;

Name EBOP Kayak Fishing Club

A/C # 02-0488-0055362-000

Transaction reference please use surname and initial