RBR Entry Form (26th - 28th April 2024)
Nomination form for April 2024 Cecil Plains to Westmar RBR
Sign in to Google to save your progress. Learn more
Email *
Primary contact details for this entry:
Person who will be responsible for team communications, invoices, payments etc....
Name *
Phone number: *
Town/State/Post code *
Preferred Car Number if known. (please list 3 other preferences in case first choice already taken)
Team Name (if known)
How many people in your car: *
Entry Fee's:
Entry will be $1000 per vehicle plus a $250 minimum donation to our charity partner GIVIT.

$1000 - Per vehicle. 
$220   - Individual per person fees for catering from lunchtime Friday to Lunch time Sunday.
$250 - Donation to GIVIT

A tax Invoice will be sent out to all nominated entrants in April with payment due there after.  Fee's attract GST as will be shown on invoice.

$250 FUNDRAISING donation to GIVIT:
As part of the your entry into this event you pledge to donate a minimum of $250 to our events charity partner GIVIT. All fundraising donations are to be paid via the events on-line fundraising platform (Mycuase) or directly to GIVIT.
Do you intend also to enter the next 'Bendemere to Over-ere' RBR in September? *
Required
Do you intend to enter the next big "Alice Springs to Alice Springs via the West Coast & Kimberley" Super Rally in 2025? *
Required
Entry fee & donation payment details
Entry & per person catering fees:  A tax invoice will be sent to you in April along with payment details. Payment can be made using credit card, direct deposit or cash on the day.

GIVIT:  An online Mycause fundraising page will be set up for this event that will include a page for every entrant.  You, or anyone can make your donation contribution directly using credit card.
RBR AGREEMENT: I agree to the above fees and also any event rules, regulations, requests & requirements that may be issued as part of the safe running and management of this event. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms