Truckers & Loggers Entry Form
TEAM NAME:
*
Contact Email Address
*
example@example.com
Phone Number
*
COMPANY:
*
BOAT NAME:
*
Angler 1
*
First Name
Last Name
Angler 2
First Name
Last Name
Angler 3
First Name
Last Name
Angler 4
First Name
Last Name
Angler 5
First Name
Last Name
Angler 6
First Name
Last Name
My Products
prev
next
( X )
Total anglers
$
125.00
NZD
Quantity
0
1
2
3
4
5
6
Tournament Memberships Required
$
25.00
NZD
Quantity
0
1
2
3
4
5
6
Guest Entry (non anglers) $50 each, no:
$
50.00
NZD
Quantity
0
1
2
3
4
5
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: