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

Race Entry Information

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School: (•)

Which race are you entering? (•) -- Please select -- Single Double Quad Eight

What Division are you entering? (•) -- Please select -- Male Female

Rower Information

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

Payment Details

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

Comments

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