Rider First Name *

Rider Last Name *

Other Attendees Names

Email address *

Class *

Sponsors for 2019

Number of Adults (R 160 per person) *

Number of Under 10 (R 130 per person) *

Number of Under 6 (Free) *

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?

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