THANK YOU, YOUR TEAM HAS BEEN INCLUDED ON OUR WAITING LIST.

THIS IS A WAITING LIST FORM ONLY.

 

PLEASE IGNORE THE PAYMENT STEP.

 

We will contact Captains if we open more entries.

Your entry will be confirmed once we receive the payment.

PAY VIA INTERNET BANKING

If you have decided to give a donation and haven’t already paid it via PoliPay, you can transfer the amount to the bank account:

ANZ – 01-0797-0986881-00 

Wicked Rogaines Ltd

 

Include Captain’s Name  in the code box and Team Name in the reference box and email receipt to: nora@wickedrogaines.nz, please.

BANK TRANSFER

PAY USING PAYPAL

ONLINE PAYMENT

Amount you will be paying : $

Captain’s Name :

Team Name :

Event :

Learn more about POLi

Once we receive your payment, we will be in touch to confirm your entry. You can find the location and event details on our Facebook page, don’t forget to like us.