Page 2 - Information and Registration PDF
P. 2

Print Form
          REGISTRATION FORM                                                                                    Save Form
              Esperance 2024                                                                                    Mail Form

                        ODYSSEY


       DATE:      20 - 23 September 2024
       LOCATION:              RAC Esperance Holiday Park WA

       ENQUIRIES:       Ken      0418 925 081
       Please Forward Completed Form To:
       Email:   president@thejug.online      Web Link:  bit.ly\WAOdyssey2024
       Post:     Esperance Odyssey 2024,  51 Grand Bolevard, Joondalup 2027
       Contact Details                    Rider                                  Pillion/Partner
       First name*
       Surname*
       Preferred Badge Name:
       Member No.*
       Branch*
       Address*
       Suburb*                                                       State*           Postcode*
       Email*
       Phone                                                          Mob*
       Bike Rego*                               Make, Model, Year*
       Costs                                                  Each         Number               Subtotal
       Registration Fee
       Registralion includes Patch and Sticker                $35                                $ 0.00
                           Please register by 1st Sept for Patch. Final meal registration by 15 Sept.
       Meals                                                    Meals Must Be Ordered And Paid For On This Form
       Friday Dinner -     Cook your own BBQ                  $20                                $ 0.00
       Saturday Breakfast  Bacon, Egg, Sausage and Cereal     $10                                $ 0.00
       Saturday Dinner     Buffet Dinner @ Footy Club Rooms   $40                                $ 0.00
       Sunday Breakfast    Bacon, Egg, Sausage and Cereal     $10                                $ 0.00
       Sunday Dinner       Roast Lamb Gravy Rolls and More    $25                                $ 0.00
       Monday Breakfast    Bacon, Egg, Sausage and Cereal     $10                                $ 0.00
       Stonehenge Entry (Special discounted rate)             $12                                $ 0.00
       Stonehenge Entry plus Scones (2) Tea/Coffee**          $20                                $ 0.00
       Extra Odyssey 2024 Patch                                $8                                $ 0.00
       Total Cost                                                                                $ 0.00
       ** Planned Sunday morning tea and special photo shoot at the Esperance Stonehenge.
        Please Provide Special Dietary Requirements

       PAYMENT DETAILS - Note: Payment Only Via EFT(preferred), Cheque or Money Order
            Cheque / Money Order: Esperance Odyssey 2024 Postal Address: 1/51 Grand Boulevard Joondalup 6027
       Direct Credit
       Bank                   Commonwealth                           Please ensure name & membership number
       BSB                    066 160                                are included with payment
       Account No.            1097 3290                              Receipts only issued on request and via email
       Account Name           Society Check Account
             Reference              Name:                                  Member No.

             DISCLAIMER:   Registering for and participating in the Esperance Odyssey 2024 and associated events and activities is entirely at the risk
             of member and non-member attendees. Ulysses Club Inc and Ulysses Club Inc Joondalup Branch accepts no responsibility for any personal
             injury or property loss or damage that may arise as a result of registering for, participating in and or attending the Esperance Odyssey 2024
   1   2