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Name in full: |
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Postal Address: (to send badge to) |
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Postcode: |
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Email: |
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The following
information is required to enter prize categories |
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Sex:
Male / Female |
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What do you ride?
Motorcycle / Sidecar / Trike / Scooter / Car!!?! |
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Engine Capacity |
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I am the:
Rider / Pillion / Passenger |
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Address (to measure longest distance from) |
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Suburb: |
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City: |
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State: |
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Country: |
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Combined
age of bike and rider is years.
(photo of bike and rider required!) |
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Motorcycle Club:
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Hard Luck Award:
Please attach hard luck story to entry form. |
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I
give permission for my photo/story to be published on the website. |
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Please make cheque or money order payable for A$10 to CMA of Aust, SA Inc and return |
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with this form to: |
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