ENTRY FORM For The Red Back Rally 2012

Name:                               Club:

Address Line 1:

Address Line 2:

               City:Post Code:

I/We the undersigned do not hold the Sketa Grimshaw Tourers responsible for any loss or damage to any riders, pillions OR equipment including vehicles going to and from the Red Back Rally.

Rider ...................................   Pillion...................................

 

Please fill out, print and sign the above entry form and send it with your cheque/money order ($15.00 per person).Cheques to be made payable to. 

Sketa Grimshaw Tourers MCC.  P.O. Box 133 Charlton 3525.

For further information contact SGTMCC at :sgtmcc@iinet.net.au

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