PFT 2006 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 :

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 Adults for Saturday Night Dinner:

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

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.

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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