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Registration:$10 per person. BYO Drinks

Includes: Embroidered patch, tea & coffee

Meals: Optional. Please order on this form if required.

Venue: Coral Coast Tourist Park 108 Robinson Street
Carnarvon

Phone: 9941 1438 Email: info@coralcoastpark.com

Member Name:
Address:
Email:

Phone
Ulysses member No.
Branch
Guest Name:

Address:
Email:
Phone
Ulysses member No. (if a member)

Branch

Registration Fee: $10 per person. Number of people: $
Meals( optional): We only order meals booked & paid for on this form $
Saturday breakfast: Cereal, Fruit, Bacon & Egg roll @ $7 ea Number $

Saturday dinner: Cook your own BBQ & dessert @ $15ea Number $
Sunday breakfast: Cereal, Fruit, Bacon & Egg roll @ $7 ea Number $
Sunday dinner: Cook your own BBQ & dessert @ $15 ea Number $

Monday breakfast: Cereal, Fruit, Bacon & Egg roll @ $7 ea Number $
Total cost meals & registration for member & guest. $

(Add these up.)

Registration Payment Details:
Cheque or Postal Order made out to “Ulysses Club WA Rallies”

Please post to: Kalbarri Rally P.O. Box 8002 WARNBRO WA 6169
Direct Deposit: Account Name: Ulysses Club WA Rallies. BSB 066274 Account Number 10033381
Please use Ulysses member number as reference for direct deposit.
Please email completed rego forms to: compland@dodo.com.au

Enquiries: Chris 0419919275
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