VIRTUAL INDIVIDUAL 500M

Company details

Company Name

Contact Name *

Email Address *

Phone *

VIRTUAL 500M1. All swimmers entering the 500m will swim 20 continuous widths, of a 25m swimming pool. 2. Start with a dive and finish each length at the wall. 3. Each individual swimmer and teams must provide someone to record the distance and time swum. 4. Results to be up-loaded via the link supplied.

Swimmer Name & Surname *

Date Of Birth *

Date of Swimmer birth

Gender *MaleFemale

Entry Fee *EFT R80.00

Payment ChoiceBobum XL Leomat 1000 Towel R225.00 – Swimmer 1Towel orders will automatically include courier fees, calculated according to your club selection.

Event Host *SEALS SWIMMING CLUBBEAVERS SWIMMING CLUBOTHER – SOUTH AFRICAOTHER – INTERNATIONAL

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