50+1 Rally Registration

Event flyer
Printable Entry form
Accommodation Bookings & payment (Ivory’s Rock)

Enter Preferred First +/- Last Name
Member's Card Number
No & Street Name; Suburb/Town; State & Post Code
Please select your membership area, if a member.
Please enter your best contact phone number.
Indemnity & Release
Select Size
Select Size
Select Size
Select Size
Please detail number, style & size of any shirts required, additional to above selections.
Payment
Enter total being paid to HMCCQ
Reference used for online payment
Questions/Comments etc.