Registration fee of N$1200 per attendee
Includes:
* Event access
* Rally T-Shirt
* Rally Pin

* Raffle Ticket

Full Name *

Email *

PLEASE use the unique email address for the Rider/Pillion being registered, do not use an email address already used to register. Do not use an email that has been registered before, this will overwrite the record with the details you provide on this form!!

Phone *

PLEASE use the unique mobile number for the Rider/Pillion being registered. Do not use a mobile number that has been registered before, this will overwrite the record with the details you provide on this form!!

Gender *

Male

Female

Identity Number *

Club Name *

Enter None for no club affiliation

Bike Model *

Bike Engine Capacity *

e.g. 103ci

Rider Or Pillion *

Rider

Pillion

Other

Captcha

By providing my email address/phone number, I agree to receive communication from the company. I agree to the terms and conditions.

Registration fee of N$1200 per attendeeIncludes:* Event access* Rally T-Shirt* Rally Pin

* Raffle Ticket

Registration fee of N$1200 per attendee
Includes:
* Event access
* Rally T-Shirt
* Rally Pin