Registration

Note: Entries will be accepted on Saturday morning prior to start!

(Important: Please Read)

I have read & agree to the Conditions of Entry & Cancellations above. *

Your Name *

Recommended by

Address Line 1 *

Address Line 2

Suburb *

Postcode *

Email *

Telephone Number *

Riding Group *

Shirt Size *

Payment Type *

Name on Card *

Card Numbers *

Expiry Date (mm/yy) *

($45 will be charged to this account within 24 hrs.)

Comments

More payment options are available by completing & returning this registration document: