Coffs Coast May Teams Congress 2019 - Entry Form


Saturday 18th May - Sunday 19th May 2019
Contact Details (* mandatory)
Make sure Phone and Email details below are correct!
Team
ABF No. Full Name Club Name

1. Capt.

2.

3.

4.

Payment Details - select method of payment [entry fee: $360/team - fees must accompany entry.]
Account Name Coffs Harbour Bridge Club BSB 082 551 Account No 30-177-5782  Bank:NAB remember to enter surname in description field to help us identify payment!
Credit card will be manually charged after the entry has been checked and accepted

Notes - if applicable - any special dietary requirements for example