2017 World Koi Carp Entry Form

Please complete the form below to enter as a team or individual in the 2017 World Koi Carp Classic.

Event date : November 4 – 5, 2017

Please note this competition is open to financial NZBS members only, annual subscription fees are due 30th September.  Membership renewal can be completed here if required.

Name 1:*
Name 2:
Team Name:

Entry Fees:
Senior $40.00 per person, 
Junior (under 17 years) $20.00 per person
*Late entry fee of $20 applies after October 21

Total fees:*
Your Payment Method will be:*

Please complete payment electronically to account number 
02 0454 0051726 00

Date of your payment:

Note: when paying electronically please enter your name in the Reference field.

Please send your cheque to:  NZBS Administrator, 30 Bayview Road, Kellys Bay, RD 1, Te Kopuru 0391

Your E-mail:*
Contact Name:*
Contact Phone:*