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 Contest Entry Form

Please print off a copy of this form, complete the details and send it together with the contest entry fee ( Members $15 for 1st event + $5 for 2nd event)    to:

Maladiction Longboarders
PO Box 37
Flinders, Vic 3929


Competitor's Name:
Phone Number:
Email Address:

Events you would like to enter: (Please Tick)

Open 9' 36 places
Old Mals  12
Over 45s  12
Junior  12
Groms   6

Signature: Date: