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42nd NT Barramundi
Classic Masters 2024
MASTERS 2024
Team Entry Form Part 1 of 4 "SKIPPER"
*
Indicates required field
Team Name
*
Name
*
First
Last
Email
*
Mobile Number
*
Postal Address
*
City
*
State
*
Northern Territory
Western Australia
Queensland
South Australia
Victoria
New South Wales
Tasmaina
ACT
Post Code
*
Emergency Contact
*
Emergency Number
*
Work Place
*
Work Number
*
Hosting Junior Angler(s)
*
Yes - 1 Junior
Yes - 2 Juniors
Yes - 3 Juniors
No - Unable to
As skipper are you happy to host junior angler(s) for the Junior Barra Classic on 29 April?
Boat Name
*
Length (m)
*
Type
*
Model
*
Engine
*
4 Stroke
2 Stroke
Electric
HP
*
Boat Insurance Certificate
*
Max file size: 20MB
Please attach a PDF of your Current Insurance Certificate
Photo of Boat
*
Max file size: 20MB
Team Entry Fee Paid
*
$2,100 full payment
A team deposit of $2860 is due by 27 October 2023 to Darwin Game Fishing Club BSB: 633 000 Acct: 1990 39579
Competition Shirts
One shirt for each participant is Included in the Entry Fee
Skipper's Size
*
XXXL
XXL
XL
L
M
S
Sleeve Length
*
Long Sleeve
Short Sleeve
Extra Comp. Shirts for the Team
Extra shirts are available at $75ea short sleeve or $80ea long sleeve
Size
*
XXXL
XXL
XL
L
M
S
Sleeve Length
*
Long Sleeve
Short Sleeve
Qty.
*
Amount ($)
*
$80.00 Long Sleeve $75.00 Short Sleeve
Size
*
XXXL
XXL
XL
L
M
S
Sleeve Length
*
Long Sleeve
Short Sleeve
Qty.
*
Amount ($)
*
Size
*
XXXL
XXL
XL
L
M
S
Sleeve Length
*
Long Sleeve
Short Sleeve
Qty.
*
Amount ($)
*
Additional Visitors to Team - (Cost to be advised)
Number of People
*
Number of Days
*
DGFC Membership - Skipper
I am already a DGFC Member
*
Please Insert Your Number
Full Member (Single)
*
Not Applicable
Please Process
Amount ($)
*
$0.00
$75.00
Full Member (Family)
*
Not Applicable
Please Process
Amount($)
*
$0.00
$120.00
Total Amount Payable for SKIPPER
*
Should include Entry Fee Extra Shirts Membership Fees (If Applicable)
Team Entry Form Part 2 of 4 - "Crew #1 of 2"
Name
*
First
Last
Email
*
Mobile Number
*
Postal Address
*
City
*
State
*
Northern Territory
Western Australia
Queensland
South Australia
New South Wales
Victoria
Tasmainia
ACT
Post Code
*
Work Number
*
Work Place
*
Competition Shirt - Crew #1 of 2
One shirt for each participant is Included in the Entry Fee
Crew #1 Size
*
XXXL
XXL
XL
L
M
S
Sleeve Length
*
Long Sleeve
Short Sleeve
DGFC Membership - Crew #1 of 2
Crew #1 is already a DGFC Member
*
Please Enter Membership Number Here
Full Member (Single)
*
Not Applicable
Please Process
Amount ($)
*
$0.00
$75.00
Full Member (Family)
*
Not Applicable
Please Process
Amount ($)
*
$0.00
$120.00
Amount Additional for Crew #1
*
This should be added to the Skippers Amount above
Team Entry Form Part 3 of 4 - "Crew #2 of 2"
Name
*
First
Last
Email
*
Mobile Number
*
Postal Address
*
City
*
State
*
Northern Territory
Western Australia
Queesland
South Australia
New South Wales
Victoria
Tasmainia
ACT
Post Code
*
Work Number
*
Work Place
*
Competition Shirt - Crew #2 of 2
One shirt for each participant is Included in the Entry Fee
Crew #2 Size
*
XXXL
XXL
XL
L
M
S
Sleeve Length
*
Long Sleeve
Short Sleev
DGFC Membership - Crew #2 of 2
Crew #2 is already a DGFC Member
*
Please Enter Your Membership Number Here
Full Member (Single)
*
Not Applicable
Please Process
Amount ($)
*
$0.00
$75.00
Full Member (Family)
*
Not Applicable
Please Process
Amount ($)
*
$0.00
$120.00
Amount Additional for Crew #2
*
This should be added to the Skippers Amount above
Team Entry Form Part 4 of 4 "Payment"
Total Amount Paid by Skipper ($)
*
This should include the Skipper's & 2 x Crew additional Costs and the Team Entry Fee
Please Confirm Payment BEFORE Submitting This Form
*
Monies Transfered
Due by 24 November 2023 to
Darwin Game Fishing Club
BSB:
633 000
Acct:
1554 20466
Feedback and any comments about your Entry Form are appreciated!
*
Our direct email for the Barramundi Classic is
[email protected]
DGFC Contact Form
Submit