OzTraction 2022 Payment by EFT

OzTraction 2022

East Gippsland

Friday 10th - Monday 13th June

EFT Payment Registration Form. Please complete and submit.

(There is an option to "PRINT" the form for your records before submitting if one wishes)

EFT details at bottom of form.
Name 1 *

First Name Last Name
Email *
example@example.com
Mobile Phone No.
.
Dietary Requirements
Will you be Covid double/triple vaccinated by the event? *

Yes No
Name 2

First Name Last Name
Email
example@example.com
Mobile Phone No.
.
Dietary Requirements
Will you be Covid double/triple vaccinated by the event?

Yes No

Add another name
Name 3

First Name Last Name
Email
example@example.com
Mobile Phone No.
Dietary Requirements
Will you be Covid double/triple vaccinated by the event?

Yes No

Add another name
Name 4

First Name Last Name
Email
example@example.com
Mobile Phone No.
Dietary Requirements
Will you be Covid double/triple vaccinated by the event?

Yes No

Enter number attending at $250.00 per person *

1 = $250.00 2 = $500.00 3 = $750.00 4 = $1000.00
Payment by EFT.

1. After Completing form click on "Submit" below.
This automatically goes to the Treasurer who will await your payment.

2. Payment: EFT Bank Details: BSB 633-000 Acc No.119218071
You must put your Full Name in the reference field on
the Bank Form or the Treasurer won't know who paid for it.

Should be Empty: