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RIVERSIDE AUTO MANIA

Fathers Day Weekend - Saturday 2nd September

ENTRY FORM

Contact Name *
Phone Number *
Mobile Number *
Address *
Characters left:
Email Address *
Vehicle Year / Make *
Vehicle Model *
Vegicle Rego *
Characters left:
Class *

Vehicle Entry is $10.00

Details for payment of fees:
Please make payments to:
Macleay Valley Business Chamber
Coastline Credit Union
BSB: 704-189
Account Number: 00000397

 


Please use your KRMM & Your vehicle Rego number or name as a reference
Or send your cheque to PO BOX 542, Kempsey NSW 2440

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