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National Champs Licence Reimbursement Form
This is for the XC race only. Reimbursements will be made after the race on February 27th 2020 or on race day
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* Indicates required question
My name is
*
Your answer
I confirm that I am a current financial member of the Christchurch Singletrack Club
*
Yes
I confirm that I raced in at least one of the Crocodile Summer Series 2020-2021 season races.
*
Yes
My licence fee was/will be
$10 day licence (age group categories)
$35 U19 UCI category
$65 U23/Elite UCI category
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I would prefer to be reimbursed by
*
cash at the event
internet banking (provide number below)
My bank account number is
Your answer
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