Christian Motorcyclists Association of Australia
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Christian Motorcyclists Association of Australia National Run 2017 Hosted by Queensland
Thursday 12th October – CMA International Training from 10am (optional) Friday, 13th to Monday, 16th of October 2017 at Watson Park Convention Centre, 337 Old Gympie Road, Dakabin 4503. QLD
Accommodation: Rooms or Camping
We look forward to welcoming you to the 2017 National Run and we are already praying that you will be blessed by the experience and will be refreshed in your Christian journey as a member of the CMA. We are praying for God to bless us all at this year’s National Run. What a privilege to share with like-minded people from all over Australia. We are excited and privileged to host this year’s national run, we look forward to the fellowship, and showing you around our little piece of paradise. All we need to make this a successful weekend is you. Please come. Ride carefully and plan your route wisely.
Please complete this form and return to Paul Jarrett by 31 August 2017
Email: [email protected] mobile 0417 625 399
Now…. Let’s talk about you Name
Address
Contact number
Page 1 of 5 QLD National Run 2017 registration form Email address
Name/s others attending with you Name
Special dietary requirements(if any) Name/s Details of dietary requirement
Motor cycle/car make and registration Bike/car make/model Registration no. number/s
State
Name of emergency contact
Relationship to you
Address
Contact number
Page 2 of 5 QLD National Run 2017 registration form Your arrival time Day of arrival Morning Afternoon Evening Late (after dinner)
Your departure time (estimated) Day of departure Morning Afternoon Evening Late (after dinner)
Your accommodation preference Prices include: all accommodation, and meals from Friday evening dinner to Monday breakfast. Linen is extra. Most rooms accommodate 4 people. Costs are the same whatever time you arrive or depart. There is a mixture of Ensuite rooms and rooms that use ablution blocks. Watson Park charges the same price per room. Therefore we will be doing the same.
Entire weekend from 1pm Friday 13 October 2017 - 9am Monday 16 October 2017
Type of Cost per Qty Total accommodation person Adult Room $240 Linen (towel, washer, pillowslip, $10 per person soap, sheets and blanket) per stay Adult Camping $200 Badges Cloth $10 Metal $10
TOTAL
Polo Shirts: The cost of the Polo shirt is included in the run fee. One shirt per person. Mens MED LGE XL XXL 3XL 4XL 5XL Sizes:
Polo Shirt Sizes Ladies 8 10 12 14 16 18 Sizes:
International Training day Prices include: accommodation, and meals for Thursday lunch, dinner & Friday morning breakfast. Friday morning ride to Mooloolaba for a beach walk and swim, lunch for your own cost.
Page 3 of 5 QLD National Run 2017 registration form International Training day Optional Thursday 12 October 2017
Type of Cost per Qty Total accommodation person Adult Room $80 Adult Camping $70
TOTAL
Your interest in a post-run tour The post-run tour is expected to run from Monday morning 16th October – Wednesday morning 18th October (2 additional nights). This will be based at Watson Park. Please indicate below if you will be attending the post-run tour:
Prices include: accommodation, and meals for Monday dinner & Tuesday breakfast & dinner Wednesday breakfast. Lunches for your own cost.
Post-Run tour Monday 16 October to Wednesday 18 October two nights
Type of Cost per Qty Total accommodation person Adult Room $105 Adult Camping $85
GRAND TOTAL
Sharing accommodation
We will endeavour to meet your request for accommodation. There are ten unit’s ensuited with a double bed & two double bunks. Twenty units ensuited with six beds per unit. There are an additional thirty five basic units with four beds. It will be helpful to know who you would prefer to share with if this was the case. Please list their names below and confirm with them directly yourselves that they would be happy with this arrangement:
…………………………….. ……………………………..
Staying in accommodation off-site? Please indicate if you are staying off-site: If you have chosen to stay in accommodation off-site, the Registration costs are as follows: Type of Cost per Qty Total accommodation person Adult - off site Cost of meals & $155 Shirt Badges Cloth $10 Metal $10
Page 4 of 5 QLD National Run 2017 registration form TOTAL
GRAND TOTAL
Your payment
Payment must be received to confirm registration. Once cleared, a welcome email will be sent.
Payment by Direct Deposit Please deposit full payment into: Commonwealth Bank BSB: 064 101 Account number: 009 064 91 Account name: Christian Motorcyclist Association of QLD. Inc
Reference: your surname and qty e.g. Smith2
Please note your reference and date deposited here: ………………………………..
Return of form Please return this form as follows: By email to Paul Jarrett [email protected] with direct debit payment noted By post to: Paul Jarrett PO Box 1100, Aspley, QLD 4034
If you are unable to pay by Direct Deposit please pay by cheque or money order, attach to form and post to address above. Cheque payable to: Christian Motorcyclist Association of QLD. Inc
Enquiries: Paul Jarrett [email protected] Tel: 0417 625 399 and Regan Philpott [email protected] Tel: 0401 685 456
Page 5 of 5 QLD National Run 2017 registration form