General Club Entries

Thank you for your participation in HoTT '09.

Entries are currently closed. They will re open early 2010.
Thanks for your support, see you next June.

• Required

Crew Contact Person

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Title: DR MR MRS MS	First Name: (•)	Last Name: (•)
Contact Phone Number (•)	E-Mail Address: (•)

Race Entry Information

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Club: (•)
Which race are you entering? (•) -- Please select -- Single Double Pair 4+ Quad/4- Eight	Which division are you entering? (•) -- Please select -- Open - Male Open - Female Master <50yrs - Male Master <50yrs - Female Master <50yrs - Mixed Master >50yrs - Male Master >50yrs - Female Master >50yrs - Mixed

Rower Information

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	Name:	Club:	DOB:	T-Shirt Size:
1				-- Select-- Small Medium Large X-Large
2				-- Select-- Small Medium Large X-Large
3				-- Select-- Small Medium Large X-Large
4				-- Select-- Small Medium Large X-Large
5				-- Select-- Small Medium Large X-Large
6				-- Select-- Small Medium Large X-Large
7				-- Select-- Small Medium Large X-Large
8				-- Select-- Small Medium Large X-Large
Cox				-- Select- Small Medium Large X-Large

Payment Details 

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Payment Method -- Please select -- Direct Deposit Cheque •	Entry Fee $ •
Make cheques payable to: Murwillumbah Rowing Club & post to PO Box 846, Murwillumbah, 2484
Deposit Details:
BSB: 082-738 Account Name: Murwillumbah Rowing Club Account Number: 574926259

Comments

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