2025 Bass Electric Tour - Teams Entry Form

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1-2 February 2025

BP Dam, Moffattdale, QLD
Contact us at admin@basselectric.au

Complete one form per team

Indicate any Junior anglers with (jnr)

Email *

Team Name *

Angler #1 Name *

Angler #1 Address

Angler #1 Phone *

Angler #2 Name *

Angler #2 Address

Angler #2 Phone *

By signing this entry form anglers agree to the event rules and acknowledge and understand the liability waiver. *

Yes

Required

I/We agree to paying the entry fee of $150 per team *

Yes

Payment Details

BSB: 064-111

ACC: 10193735

Name: Acqua Leisure Pty Ltd

Copy link to pay online securely with Square:

https://square.link/u/h1LueoW0

Submit

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