GET WET FOR CHARITY
Your Name and Surname
Your Phone number
Your Email
Number of Participants
Registration Name Or Group Name Entered
Number of Entries or Donations (for example 1 )
Number of T Shirts (for example 2)
T Shirt size (for example 1 m, 2 xxl)
Total of Entries (in value R)
Total of T Shirts (in value R)
Postnet R99
Total (in value R)
Purpose Driven Events FNB
Brakpan 250542
Acc 62802562183
Reference: Reg- Name / Name of group entered