Printable copy of Entry form: Primary School Relays Entry Form 2013
PLEASE PRINT OUT AND POST ENTRY FORM
ENTRY FEE: of $20 must accompany this entry form
CLOSING DATE: Wednesday 24th July, 2013
Payment Options
Cheque/money order payable to: Cooroy Pomona Lions Club
Direct Deposit: Bendigo Bank BSB 633108 A/C 1425 24503
TOTAL $ _______
Application form to be completed and signed and posted with cheque/money order or proof of direct deposit
King of the Mountain
Primary School Relays
PO Box 144
POMONA QLD 4568
Enquiries to Race Co-ordinator,
Judy Topper on 07 5485 1313 (home – after hours until 8.30pm)
07 5480 8600 (work)
07 5485 0107 (fax)
judytopper2009@bigpond.com