Rumble Riders | Registration

Additonal Shirts

Ladies Shirts: Available sizes 6 thru 20. These are a small make.
Extra shirts can be purchased at $35.00 each including GST.

Men's Shirts: Available sizes XS to 5XL. These are a small make.
Extra shirts can be purchased at $35.00 each including GST.

*See sizes below

Will you require:

Emergency Contact Details

Pillion Details

Rider Only

Rider & Pillion

First Name

Surname

Address

Suburb / City

State

Postcode

Mobile

Phone

Bike Details

Rider Shirt Size

Camping

Cabins

First Name

Surname

Address

Suburb / City

State

Postcode

Mobile

Phone

Bike Details

Pillion Shirt Size

Camping

Cabins

First Name

Surname

Phone

Alternate Phone

Size

Qty

Total $

Size

Qty

Total $

Do you have any medical conditions that the organizers need to know about?

Yes

Registration cost: $110.00 incl GST per person
Includes Polo shirt, stubby holder, key ring, patch and a donation to the Prostate Cancer Foundation.

Ladies Shirts: Available sizes 6 thru 20. These are a small make.
Extra shirts can be purchased at $30.00 each.

Registration Details

*Please choose registration type

Riders Details

Payments: Can be made by cheque or direct deposit
Direct Debit:
Bank: Bank of Queensland
Account Name: Rumble Riders
BSB: 124-001
Acc Number: 20562258
Use surname as your reference.

Cheque:
Make cheques payable to: Rumble Riders
Postal Address: 62-66 Marjorie Court, Jimboomba Qld 4280