Register for the BSAOC Queensland 4th National Rally before : 30 June 2008
and go into the draw to win back your Rally Fee and Regalia order. Worth up to $200.00
Draw will take place at the Prize giving ceremony at the Rally.You must be present to receive this Prize; the judge’s decision is final.

 
 JUST PTINT THIS PAGE TO YOUR PRINTER !
           

                   BSA  Owners  Club of  Queensland.  Inc.
                 Late Entry  form  2008  National  BSA  Rally
           5th.  6th. 7th. September Gold  Coast  Queensland
                Closing Date for  Entries   15 th. August 2008
NOTE this entry is only for Rally pack, Rally rides, Show & Shine,
                 Insurance.  All meals to be paid at door.


Name:-………………………………………………………………………………….

Address:………………………………………………………………………………...
                
 State:-…………..     Phone:-……………….. Mobile:-……………………
                                                  Email:-……………………….                     
Hist. Reg.:-   YES---No.  Solo/Outfit:-…………..  Rego  No…………..
 Bike’s Details;- make………… ……………..year………model…………………….
Extra Rally Badges   $5-00…………..No. …………..                                             $............
Rally Entry Fee. Rider alone
            {includesBadge.1Rally.Patch&Rally.Insurance}$65.00                                              $.............          

Rally Entry Fee.  Rider &  Partner.
{ Includes Badge,  1. Rally Patch ,& Rally Insurance} $65.00                                  $.............
                                                                                                                                        
Raffle for Rally Banner:-  $2.00.Tickets   No. required ………                                      $.............
 CAPS :- .                                    $12.00                                             $............
                                   BSA  embroidered premium cap
   Polo Shirts:-                               $30.00                                              $.............
                                   BSA embroidered cool dry fabric
   T-Shirts:-                                    $20.00                                              $.............
                                   BSA with three colour  BSA print
    Extra Rally Patches   ea:-         $12.00                                  TOTAL $..............
                                                                                                                                                                                            

           Please complete and return with monies  payable to BSAOC of Qld. Inc.
                             P.O.Box714. Runaway Bay Qld 4216.  before the
                               CLOSING DATE 15 th. AUGUST 2008
Indemnity:-All entrants, owners, riders, passengers etc. Enter and participate in this event at their own risk. The organizers of the event accept no liability or responsibility for loss or damage suffered by an entrant, owner, rider or passenger by any, act ,or omission ,or though any circumstances, The entrant hereby agrees to indemnify, and save harmless to the organizers of the event from all actions, claims proceedings or demands or loss howsoever arising out of the entrants participating in this event
     Late bookings contact the Club Secretary by phone {0755371289}
     {www.bsaqld.com.au}
                       
 Signed:-………………………………              Date:-…………………..

For office use only:- Amount received:-…………………………..   Receipt No.:-………………..
 
 Entrant No.:-………            Date:-………………… Sec:- ……………….  Treas.:-…………………..



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