NavRun Entry Form 2010

 

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

 

NAVRUN 13/14th November,2010 Tanjil Bren Region. VIC

 

Team name :          

Team postal address:

Team email address:  (Will email instead of post)

Optional 2nd Email address: 

Telephone number with contact name:   

 

Single Car Team Two Car Team

Vehicle's Name

Driver 1 Driver 2

Navigator 1 Navigator 2

Total cost is:

$350 (2 car team)

Fee includes all notes and maps for both vehicles

 

$200 (single car team)

Fee includes all notes and maps

 

"entry fee does not include dinner; For only an additonal $5 a head, Aussie Disposals will provide you with dinner"

 

 

Mastercard / Visa accepted for payment or pay on the day is accepted

$ 350.00

If you require dinner, please pay this seperately on the day of checking in your team. This also includes any extra passengers you bring along, etc

How many do you require diner for?

Credit Card Number

 

Expiry Date  
Account Name

OR: Post to Paoletti's Maps to 15 Nirvana Close, Langwarrin South Vic, 3911.

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