Entry Form

WOA Championships
Queen’s Birthday 3-Day 2008
May 31 – June 2, 2008

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Problems: Contact Russell

Contact Details:

Contact Name
Address
Email
Phone

Competitor Details:

1. Firstname	Surname	Birth Year	Club	SI Card Type / No.	Fee
					How Much?
.	Select a grade for each event that you are entering or '-----' to skip the event	Day1 - Wiritoa	Day2 - Osgiliath	Day3 - Bombing Range
2. Firstname	Surname	Birth Year	Club	SI Card Type / No.	Fee
					How Much?
	Select a grade for each event that you are entering or '-----' to skip the event.	Day1 - Wiritoa	Day2 - Osgiliath	Day3 - Bombing Range
3. Firstname	Surnamename	Birth Year	Club	SI Card Type / No.	Fee
					How Much?
	Select a grade for each event that you are entering or '-----' to skip the event.	Day1 - Wiritoa	Day2 - Osgiliath	Day3 - Bombing Range
4. Firstname	Surname	Birth Year	Club	SI Card Type / No.	Fee
					How Much?
	Select a grade for each event that you are entering or '-----' to skip the event.	Day1 - Wiritoa	Day2 - Osgiliath	Day3 - Bombing Range
5. Firstname	Surname	Birth Year	Club	SI Card Type / No.	Fee
					How Much?
.	Select a grade for each event that you are entering or '-----' to skip the event	Day1 - Wiritoa	Day2 - Osgiliath	Day3 - Bombing Range
Do Family Maximum fees apply ?
Sub-total for entry fees $

Additional fees:

(1)	SportIdent e-cards: to buy @ $50.00 each	Qty:
(2)	SportIdent e-cards: to hire @ $3.00 each per day	Qty:
(4)	One-event NZOF registration fees (if applicable).	How Much?
(5)	Late fees ($20 per person per day for entries after 21 May 2008)
Sub-total for additional fees $

Total Payable $

Go to Submit or Reset buttons

Please indicate payment option used:

[ ] A cheque payable to Red Kiwi Orienteering Club Inc - post to Russell Higham, 116 Main Rd South, Levin
[ ] The amount payable has been direct credited to the club's account at Westpac Palmerston,
account 03-0726-0484235-00 on date: (DD/MM/YY)
with Payment reference:

Start time requests, for competitors with young children:

Comments or requests here

WOA Championships Queen’s Birthday 3-Day 2008 May 31 – June 2, 2008

WOA Championships
Queen’s Birthday 3-Day 2008
May 31 – June 2, 2008