Entry Fee = R10 000.00 (4 Pax, inclusive of an angling or non-angling skipper) - Please use Team name as Reference for the payment - please email proof of payment to secretary@mpangling.co.za ABSA Bank - Account Number 712 035 331 - Branch - 632 005

Captains First Name*

Captains Last Name*

Captains Mobile Number*

Captains Email*

Complete ID Number*

Captains Shirt Size*

Angler #1 First Name*

Angler #1 Last Name*

Angler #1 Mobile Number*

Angler #1 Email*

Complete ID Number*

Angler #1 Shirt Size*

Angler #2 First Name*

Angler #2 Last Name*

Angler #2 Mobile Number*

Angler #2 Email*

Complete ID Number*

Angler #2 Shirt Size*

Angler #3 First Name*

Angler #3 Last Name*

Angler #3 Mobile Number*

Angler #3 Email*

Complete ID Number*

Angler #3 Shirt Size*

Boat Name*

Boat Registration Number*

Upload proof of payment or email proof of payment to secretary@mpangling.co.za