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Social Registration Form

Name
Nickname
Address
Suburb
Postcode
Phone
Email
 
Club / Uni
 
T-Shirt Size
 
Medicare Card No:
Emergency Contact Name
Emergency Contact Phone
 
Dietary Requirements:
 
Are You Competing?

Days Staying Social
Levy		PrePay
Discount		Total
5 Nights - Tues to Sunday & T-shirt / showbag$320-$20$300
4 Nights - Wed to Sunday & T-shirt / showbag$290-$20$270
3 Nights - Thurs to Sunday & T-shirt / showbag$240-$20$220
2 Nights - Fri to Sunday & T-shirt / showbag$180-$10$170
1 Nights - Sat & Sunday & T-shirt / showbag$115-$5$110

Preferred Payment Method
NetBank Transfer
Transfer the total amount payable to the Monash Waterski Club account.

Account Name: Monash University Waterski
BSB: 063 408
A/c No: 1002 2747
Put your name in the description/details section.

Please fill in the Bank / Receipt Number Below

Deposit at Branch
Give it to Lisa / Courtney
Give it to Club President
Netbank Bank Name / Receipt Number: