REGISTRATION FORM

AIDA SOUTH AFRICA FREEDIVING OPEN, 2- 6 MAY 2006

NAME:

CELL:

E-MAIL:

HAVE YOU PAID?:

WHICH DISCIPLINES ARE YOU INTERESTED IN COMPETING IN?
(This is just as a guideline, you can change your mind later)

ADDRESS:

COMMENTS OR QUERIES: 

Please deposit your registration fee into the following bank account and email
this registration form to hanli@rooibok.se

EARLY BIRD BEFORE 10 APRIL		R500
NORMAL REGISTRATION		R800

AIDA SOUTH AFRICA
NEDBANK LONGBEACH
BRANCH CODE:
ACCOUNT NUMBER: