Bookings Form
Race Day
Please Select one
Andrew & Darren Jarman at Glenburnie
CHRISTMAS TWILIGHT RACE MEETING
SUMMER CUP
Beef & Burgundy Race Day
GOLD CUP CARNIVAL (Day 1)
GOLD CUP CARNIVAL (Day 2)
Marquee/Booking option:
Name:
Address:
Work phone:
Home phone:
Mobile phone:
Email:
Booked Through:
No. of Bookings:
Amount:
Credit Card Details
please send you credit card details to
richard@racing.mountgambier.org
When sending ther details please supply your name etc... along with the
following details: -
Credit Card Type (Visa, Mastercard, Bankcard Only), Expiry Date, Name on Credit Card.
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