Please print the following, fill in the details and send along with your entry fee to:

Christmas Boat Parade
PO Box 846, Mooloolaba, QLD 4557

PLEASE NOTE: Entry forms must be returned by 25th November 2008. Your entry pack with instructions will be sent nearer the date.

 

Entry Form

Name _________________________________
Address _________________________________
  _________________________________
Home Phone _________________________________
Mobile _________________________________
Email  
Signature  

 

 

Payment Details

Flat fee of $25 payable by cheque or credit card.

Credit Card Details

Card Type Visa / Master Card
Card Owner Name _________________________________
Card Number _________________________________
Expiry Date _____/_____
Card Owner Signature _________________________________

Or make cheque payable to Mooloolaba Marina