Brandon Muspratt Services

Mercantile Relay Team Nominations

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Entry Fee:

$40 (team of 4 swimmers)
Themes:

My Super Hero and/or Water
Team Nominations Close:

Wednesday, 24th August 2022
Mercantile Relay Information:

View Information

To successfully complete this nomination form, please be aware of the following:

The $40 entryfee for the Mercantile Relay has been paid into the Burdekin Water Festival Committee account.
Deposit Details:
- Bank: Queensland Country Bank
- Account Name: Burdekin Water Festival Committee Inc
- BSB: 704-640
- Account Number: 41 414 384
You should be familiar with the Mercantile Relay ‘General Information’ and ‘Rules’.

Mercantile Relay Form

Have you paid the entry fee for this year's Mercantile Relay yet?

Please Note: A payment receipt will be required to be able to complete this form.

Has the team entry fee for this year's Mercantile Relay been paid yet?

Yes No Invalid Input

Please enter the Transaction Reference Number / Receipt for Mercantile Relay*

Please enter the Transaction Reference Number / Receipt for Mercantile Relay

Let's Make a Payment

Amount the needs to be paid to Burdekin Water Festival Committee Inc is: $40

Deposit Details:

Bank: Queensland Country Bank
Account Name: Burdekin Water Festival Committee Inc
BSB: 704 640
Account Number: 41 414 384

Once completed, please return and finish filling out this form. Remember to retain your 'Transaction Reference Number / Receipt' so you can add it to this form when returning.

Entrants' Team Name*

Please enter your Entrants' Team Name.

Contact Person*

Please let us know your name.

Phone*

Please let us know your phone number.

Email*

Please let us know your email address.

Please Note: A maximum of 6 swimmers can be registered per team, but only 4 can participate on the day.

Swimmer 1:

First Name*

Please enter swimmer first name.

Surname*

Please enter swimmer 1 surname

Swimmer 2:

First Name

Invalid Input

Surname

Invalid Input

Swimmer 3:

First Name

Invalid Input

Surname

Invalid Input

Swimmer 4:

First Name

Invalid Input

Surname

Invalid Input

Swimmer 5:

First Name

Invalid Input

Surname

Invalid Input

Swimmer 6:

First Name

Invalid Input

Surname

Invalid Input

The reason for the following nominated time is to determine the handicaps for the first relay swim; the heats.

Nominated Time for 4 Laps

Invalid Input

We (the Mercantile Relay Team members listed above) agree to abide to the Terms & Conditions of the Mercantile Relay. We are aware of the ‘General Information’ and the BWF Mercantile Relay rules detailed elsewhere on the BWF website.

Please accept our BWF Mercantile Relay rules