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TIGERZ11 CLIFFHANGER 12th to 17th May, 2013

Competitors and Spectators: Please read the conditions before submitting your entry.

Competitor Spectator

Competitor Team Name Competitor Choose your Car Number (up to 3 choices)

Competitor Drivers Name

Competitor Navigators Name

Spectator/ Competitor 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:
(Competitor Only) I would also like to order accesories for my Marquee 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)