Sponsored By: 

                          

Rowing Entries

• Required
Crew Contact Person
Title:
First Name: (•)
Last Name: (•)

E-Mail Address: (•)
Race Entry Information
Club/School: (•)
Which race are you entering? (•)
Which HANDICAPPED Division are you entering? (•)
Rower Information
  Name: Club/School:
1
2
3
4
5
6
7
8
Cox  
 
Payment Details  [Seat fee=$35/seat (Cox=free)]  PLEASE INCLUDE YOUR NAME IN Direct Debit Xfer



$
Make cheques payable to: Murwillumbah Rowing Club
& post to PO Box 846, Murwillumbah, 2484
Deposit Details:
 Account Name: MRC HOTT Acct
BSB:
 082-738
Account Number: 170 430 070
 
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