Email*

Country*

Team Description (Blue, Red, Barbarians, Other etc):*

Boat Details

Boat Name*

Registration Number*

Vehicle Details

Vehicle Registration Number*

Vehicle Registration Number

Captain Details

First Name*

Last Name

Mobile Number

ID Number or Passport Number

Dietary Requirements

Shirt Size

Team Member 2

First Name*

Last Name

Mobile Number

ID Number or Passport Number

Dietary Requirements

Shirt Size

Team Member 3

First Name*

Last Name

Mobile Number

ID Number or Passport Number

Dietary Requirements

Shirt Size

Team Member 4

First Name*

Last Name

Mobile Number

ID Number or Passport Number

Dietary Requirements

Shirt Size

Skipper Details

First Name*

Last Name

Mobile Number

ID Number or Passport Number

Dietary Requirements

Shirt Size

R 12 700.00 per national team (4 anglers plus non-angling skipper). R1500 per spouse

Bank : ABSA Account Type : Cheque Account Number : 712035331 Reference : HT plus Boat Name