Rich River Rod Run Online Entry Form

    • Entries close on 09/02/2024.

    • Late entries may be accepted at the discretion of the organisers, but no T-shirts or Goodies Bags will be provided.

    • No entries will be accepted after 23/02/2024.


    While online entries are preferred, you can Post an Entry Form and pay by Bank Transfer:

    Rich River Rod & Custom Club	
    8 Crerar Court				
    Mooroopna VIC 3629
    GMCU Echuca - Rich River Rod & Custom Club
    BSB:  803 078
    Account:  100 009 213
    

    Please include a stamped self-addressed envelope for Receipt and include name with payment.

    Declaration

    By submitting this form we hereby release the organisers, Rich River Rod & Custom Club Inc., of any liabilities to vehicles and entrants going to, whilst at, or going from the 2024 Rich River Rod Run.


    The PayPal payment system will accept any valid debit or credit card - you don't have to have a PayPal account.

    Entrant




    Your full name




    A valid email. Please double check it! Address will be used to send your ticket!




    Postal address incl. postcode







    Incl. area code


    Vehicle














    Number attending









    One Rod Run T-shirt included with each entry. Please indicate size:




    SMLXL2XL3XL4XL5XL6XL

    Cost of Entry






    Extras


    Additional tickets required:













    Additional T-shirts required @ $30 each





































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