• GBM2023 Entry Form

    1 January 2023 to 7 January 2023
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  • Team Managers - Emergency Contact Persons

    The Team Managers will be used as the team’s emergency contact and will need to be available during the event.
  • Your Club Bank Account Details

    So we can direct deposit your prize money!
  • Competitor Details

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  • Authorizing Club Officer


  • I         hereby declare that the above information regarding financial, proficiency and patrol hour compliance is true and correct.

    Officer Position .

  • Clear
  • Entry Fees and Additional Shirts

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    Early Bird Boat Crew Entry Fee 9 persons (paid prior to 30/9/22)
    $ 700.00 AUD

    Item subtotal: $ 0.00 AUD
       
    Standard Boat Crew Entry Fee 9 persons (paid after 30/9/22)
    $ 900.00 AUD

    Item subtotal: $ 0.00 AUD
       
    Early Bird Ski Paddler Entry Fee per person (paid prior to 30/9/22)
    $ 200.00 AUD

    Item subtotal: $ 0.00 AUD
       
    Standard Ski Paddler Entry Fee per person (paid after 30/9/22)
    $ 300.00 AUD

    Item subtotal: $ 0.00 AUD
       
    Extra Adult T-shirt Orders required before 30/9/22
    $ 25.00 AUD
    Size Quantity
    S
    M
    L
    XL
    2XL
    3XL
       
    Extra Kids T-shirt Orders required before 30/9/22
    $ 15.00 AUD
    Size Quantity
    4
    6
    8
    10
    12
    14
       
    Total
    $ 0.00 AUD
  • Payment

  • Please transfer the total amount payable to:

    FSC BRANCH SLS – GEORGE BASS

    BSB 802 124

    Account Number 100 095 065

    * Use your Club Name as a Reference

     

    Email georgebassmarathon@gmail.com should you have any questions.

     

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