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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