SEYMX Registration Form
Please complete the attached to register for the SEYMX Championship and reserve your riding number. Please note that riding numbers will be allocated on a first come, first served basis. If you request no.12 and its gone you will be assigned 112 and so on.
Rider's Name: *
Your answer
Group (please select): *
Member of (Club Name): *
Your answer
Preferred Riding Number: *
Your answer
Contact Telephone Number: *
Your answer
Contact Email Address: *
Your answer
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