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

     

Contest:
 Date:
Competitor's Name:
Address:
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: