Registration

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Name

First

Last

Member number and branch (copy) *

First

Last

Name (2nd person)

First

Last

Total @ $70 per person *

Address

Mobile Phone *

Email *

Email (person 2)

Mobile Phone (person 2)

Meals *

• Friday Dinner
• Saturday Breakfast
• Saturday Dinner

Meals (2nd person)

• Friday Dinner
• Saturday Breakfast
• Saturday Dinner

Dietary requirements:

Meals Meals Dietary

Dietary requirements: (person 2)

Where are staying? Which accommodation have you booked?

Would you like to be added to a group riding back on Sunday?

• Yes
• No

I have paid *

• $70 per person

Submit

Thank you for completing this form. Ensure payment is made to:

Ulysses Club Sydney Branch (CBA Bank, Rozelle)
BSB 062-243
Account Number 0090 3764

Payment reference – Your name and badge number

PLEASE NOTE: Additional information will be sent to you after we have processed your registration.
For further information, please contact sydneyulysses.events@gmail.com