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: email@example.com, please.