Amazing Race Entry Form 2013

 

"use this form below to electronically submit, for other methods just print out this form"

 

     "Silverstones" Amazing Race (2013- Easter Weekend)

Competition days are; Good Friday 29th March, Sat 30th March, Sun 31st March.

Sunday night is also presentation night & dinner

 

Team name :          

Team postal address:

Team email address:  (Will email instead of post)

Optional 2nd Email address: 

Telephone number with contact name:  

 

Driver

Navigator

Please type in this box any additional passengers names and if under 18, their age as well please. This is so we can cater for the Sunday night BBQ and also for any children prizes, etc

 

Total cost is:

$340

 

No extra charge for more passengers

Fee includes all maps, notes and free BBQ; soft drink and alcohol provided for Sunday evening presentation

 

 

 

 

Payment Options

Total Amount

$ 340.00

*click here to view Condtitions of Entry and Refunds

Credit Card Number
Expiry Date  
Account Name

Post to: The Rabbit Trap Company P/L, 15 Nirvana Close, Langwarrin South Vic, 3911.

Or Fax your entry form to (03) 9776 6798 or Telephone 0428 534 102.

Or direct debit: Account Name: The Rabbit Trap Company P/L BSB: 033 362 Account Number: 113 505