1000M CORPORATE RELAY – Leomat 1000

1000M CORPORATE

RELAY

Company details

Company Name

Contact Name *

Email Address *

Phone *

1000M CORPORATE RELAY TEAMS:1. Relays will be swum on Friday 29 November 2024 between 16h00 and 19h00 2. 1000m Relay teams must consist of 5 swimmers 3. Relays to be swum in no less than 50m lengths with a total of 200m per swimmer 4. Swimmers may use a floatation aid should they not be able to swim the distance without. 5. All swimmers completing their relay will receive a finishing medal

Swimmer Name & Surname *

Date Of Birth *

Date of Swimmer birth

Gender *MaleFemale

Entry Fee *EFT R500.00

Payment ChoiceBobum XL Leomat 1000 Towel R225.00 – Swimmer 1Bobum XL Leomat 1000 Towel R225.00 – Swimmer 2Bobum XL Leomat 1000 Towel R225.00 – Swimmer 3Bobum XL Leomat 1000 Towel R225.00 – Swimmer 4Bobum XL Leomat 1000 Towel R225.00 – Swimmer 5

Total:

R

Send payment confirmation to leomat1000@gmail.com

PAYMENT INFORMATION:

Entry fee is to be paid via EFT into the following Bank Account.

Account Name:	Leomat 1000
Bank:	Capitec
Account Number:	1052678319
Account Type:	Business
Branch Code:	450105
Swift Code:	CABLZAJJ
Reference:	Full Name or Team name
Proof of Payment:	Email to leomat1000@gmail.com

GENERAL:

For any additional information please contact the Event Manager:
Shirley Davidson: Cell 0767548948
Email: leomat1000@gmail.com