MX-5 Club Weekend in Orange
All members are invited to join an all chapter gathering at Orange and overnight stay on Saturday 12th August 2017 for a dinner at the Orange Ex Services Club.

Please complete this form to register your attendance.

NOTE: ONE PERSON PER FORM PLEASE!!! This is important so that we receive all the information we need from all attendees.

Email address *
Name *
Your answer
Membership Number *
Visitors are welcome - please enter "n/a" in lieu of a membership number
Your answer
Chapter *
Mobile Number
Your answer
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