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Stroke* |
Distance* |
Entry Time |
Achievement Date/Place |
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Total events * |
Total entry fees* (Number of events X
Entry fee per event) $ |
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PAYMENT INFORMATION
- For direct deposit payments:
- Account Name: Maroubra Swimming Club
Bank: Westpac BSB: 032-134 Account: 205235
- email
the online receipt to race@mbra.org.au
- Entries
will only be finalised on
receipt of full payment and all payment information. After
paying by direct deposit please
email race@mbra.org.au the direct deposit receipt number and swimmer's name.
- Should payment proof not be received by email
within 3
days of the close of entries date, the entry will be cancelled
and an email notification sent to the entry contact.
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| Comments: |
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| email*: |
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