PFT 2005 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:

  Team Name :

27 Meg Radio: Yes or No:  

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

How many for Saturday Night Dinner:

Please make entry payments payable to Camp Quality. Please note that payment is be either:
Bank Cheque or Money Order. The can be quite some time between us receiving the payment and the Charity depositing the funds. N.B: No Personal Cheques are acceptable.

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
     Kellyville Lawn Care Centre
     c/- Rouse Hill post office
     NSW 2155
 

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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