MIGHTY MARKS PUSH+PULL
Details
Entry fee: R300
Venue address: Mighty Marks Gym, R624 Thornville, Umlaas rd (turn off from N3)
Weigh in: 07:00-08:00
Lifting starts: 08:30
Entries close: 16 September
Host Contact: Mark parsley 0744599933
Host email: myteemark@gmail.com

BANK DETAILS:
Bank: Standard Bank
Acc name: M Parsley
Acc no: 052065642
Branch code: 051001
Account type: Cheque
Referance: Athletes Name and Surname

Name & Surname *
Cell *
Age *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Category *
Class
Release of Liability
In consideration of the acceptance of my entry form in this Powerlifting competition, I intend to be legally bound for not only myself, but also my heirs executors and administrators. By accepting this release from liability, I waiver and release all my rights or claims for damages I may have against the Rhino Powerlifting Club (RPC) or the sponsors/promoters of this competition.
Accept Release *
Payment
PLEASE PAY INTO THE CORRECT ACCOUNT!
If you pay into the wrong account you will have to redo the payment into the correct account and will only be refunded your initial payment after the competition.

Of which 20% goes to RPC.
There is no affiliation required.

BANK DETAILS:
Bank: Standard Bank
Acc name: M Parsley
Acc no: 052065642
Branch code: 051001
Account type: Cheque
Referance: Athletes Name and Surname

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