GUINJATA SPORTS FISHING CLUB
20TH Species Bonanza
4th - 9TH June 2017, Guinjata Bay Mozambique
All entries to be in by 30th April 2017
BOAT NAME
CLUB AFFILIATED TO
BOAT REGISTRATION NO
BOAT MAKE & SERIES
MAKE OF ENGINES & HP
VEHICLE & MODEL
MAKE OF WINCH
RESORT RESIDING AT
SKIPPER’S NAME
SHIRT SIZE
POSTAL ADDRESS
EMAIL ADDRESS
TELEPHONE (WORK)
LADY/JUNIOR: L
ENTRY FEE
R
J
J
CELLPHONE
CREW MEMBER (1) NAME
CELLPHONE
SHIRT SIZE
LADY/JUNIOR: L
ENTRY FEE
R
CREW MEMBER (2) NAME
CELLPHONE
LADY/JUNIOR: L
ENTRY FEE
R
J
SHIRT SIZE
CREW MEMBER (3) NAME
CELLPHONE
J
SHIRT SIZE
LADY/JUNIOR: L
ENTRY FEE
R
CREW MEMBER (4) NAME
CELLPHONE
LADY/JUNIOR: L
ENTRY FEE
R
J
SHIRT SIZE
TOTAL
ENTRY FEE PER ANGLER
R950.00
R
LATE ENTRIES R1100.00 PER ANGLER
AFTER 30TH APRIL 2017
R 700.00
FEE PER BOAT
TOTAL ENTRY FEE DUE
PLEASE RETURN YOUR COMPLETED ENTRY FORM TOGETHER WITH PROOF OF PAYMENT TO:
Fiona Hofman
EFT payments should be made,
Email : [email protected]
Using your BOAT NAME
Phone: 0832714192
Guinjata SFC
Standard
Springs (012142)
Account nr: 637813863
R