REGISTRATION FORM:

Southland Fly Fishing Club

Course 28th Jan / 29th Jan 2012

First Name: _____________________ Surname: ____________________________________

 

Address: ____________________________________________________________________

 

Address: ____________________________________________________________________

 

Phone: (home) _______________________   (cell)________________________

 

Email: _____________________________________________________________
 

Day #1

28th Jan 2012 - Theory & Fly Casting

$55

Day #2

29th Jan 2012 - On the River

$55

Please note: The complete course is over two days

Attend both days and go in the draw for prizes

Cheque attached for

$55  /  $110

(cross one out)

Please make cheque payable to Southland Fly Fishing Club Inc

 

Post To:

Southland Fly Fishing Club
PO Box 1689
Invercargill 9840