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CLUBMAN NATIONALS REGISTRATION
1
Your Information
2
Your Car and Club Membership
3
Activities & Special Dietary Requirements.
First Name
*
Surname
*
Email
*
Address 1
*
Street
Address 2
*
Suburb / Town
Address 3
*
State
Passenger Name
Contact Number
*
Car Type
*
Car Colour
*
Car Rego
*
Are you a member of a club?
*
Yes
No
Which Club?
Select Long Run
*
Long Run Monday
Long Run Tuesday
None
Other Activities – Divo’s Bus Trip (Tuesday)
*
Yes
No
Other Activities - Alpine Cruise
*
Yes
No
Special Dietary Requirements
*
Please submit your $375 entry fee (per person) by direct deposit using the following details:
NAME: Southern 7s Incorporated
BSB: 032719
ACC: 576437
Important:
Use your car registration as the identifier so that we know who has paid. Those that do not will need to confirm with us to ensure you have registered.
Home
Event Info
Nationals Program
Registration
Contact Us
