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Ulysses 2019 Registration
Ulysses 2019 Rally & AGM Registration Form
Name / Names *
Your answer
Membership Number/s *
Your answer
Branch *
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Email Address *
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Contact Phone Number *
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Number of Registrations @ $20 each *
Your answer
Natcom or Coordinators $nil, Enter Yes *
Your answer
Number of BOTH BADGES @ $16 *
Your answer
Number of Local Hawke’s Bay Badge @ $10 *
Your answer
Number of National 2019 Rally Badge @ $10 *
Your answer
Number of Friday night meals @ $18 *
Your answer
Number of Saturday night meals @ $35 *
Your answer
Number of Saturday night non-Member meals @ $45 *
Your answer
Any special dietary requirements
Your answer
Number of Member Breakfasts Sunday @ $10 *
Your answer
Number of Non- Member Breakfasts Sunday @ $20 *
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Rally T Shirt @ $22
Total Amount Paid *
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Paid via cheque in the mail?
Direct credited to 03-1517-0006290-02
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