◊ Order Form ◊

Please complete all sections confirming a disc order for $110 Australian Dollars.
Most fields are Required except where indicated…

Competitor's Name

Event Name

Event Date

Event Category

Competitor's Event Number

Your Contact Details
Name

Email

Telephone

Postal Address

City/Town/Suburb

State/Province (if applicable)

Postal Code/Zip

Country

Payment Method:
 Cash EFT
(EFT details available upon successful order submission)