Leonville 2023
Indicating attendance on September 9 2023
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Email *
Full Name: *
Membership Number: *
Phone Number: *
Name of passenger / person accompanying: (type NONE if no person attending with you) *
Membership Number:
I have read the event regulations and agree that I have a registered and insured car, hold a current and valid Driver's Licence and have received or am familiar with and will abide by the Run Guidelines, the Club's Incident Procedures and the directions of Club Officials and Volunteers responsible for the event. * *
Required
A copy of your responses will be emailed to the address you provided.
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