MX Prize-Giving Booking

    2019 SPEEDSPOT MX CLUB PRIZE GIVING BOOKING

    1 December 2019 12:30 for 13:00

    Rider First Name *

    Rider Last Name *

    Other Attendees Names

    Email address *

    Class *

    Sponsors for 2019
    FOOD TICKETS

    Number of Adults (R 160 per person) *

    Number of Under 10 (R 130 per person) *

    Number of Under 6 (Free) *
    TROPHY SPONSORSHIP

    Would you like to Sponsor a Trophy?
    YesNo
    What trophie would you like to sponsor?

    Amount Sponsored
    TOTAL TO PAY: Calculate the total amount you owe *

    Would you like a Tax Invoice?
    YesNo
    Company Details to put on Tax Invoice?

    EFT PAYMENT

    SpeedSpot MSA
    Capitec Bank
    Branch Code: 47 00 10
    Acc #: 1368246638
    Reference: Name and Surname

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