"-----------------------------------------------------------------------------------------------------------------------

TIGERZ11 CLIFFHANGER 8th to 13th July, 2012

Check this box if you only wish to submit your interest to be on the Competitor Reserve List then go below and click Submit

SPECTATOR ENTRY FORM

Spectator address:

Email address: (Will email instead of post)

Optional 2nd Email address:

Telephone number with contact name:

Additional Comments:

Spectator Details
Spectator name:
Spectator name:
Spectator name:
Spectator name:
Spectator name:
MEAL PASS (Spectator Only )
		Select payment type I wish to pay by the month* Total Amount $
Credit Card Number	*note 1. 5% surcharge applies if paying by credit card
Expiry Date
Card Name

Post with a cheque or money order payable to CLIFFHANGER 4WD EVENTS to 15 Nirvana Close, Langwarrin South Vic 3911.

Direct debit is also accepted. Account Name: CLIFFHANGER 4WD EVENTS BSB: 033138 ACCOUNT NO: 451366 WESTPAC.

Or fax your entry form on (03) 9776 6798 or telephone 0428 534 102

(Note: Credit cards are accepted, however a 1.5% surcharge will apply)