Registration - Holden Scramble

 

2. Contact Details

 

3. Do you need to be placed in a team?

If you don't want to organise your own team tick yes to be placed in a team .

 

4. Email the other members of your asking them to register

(Ignore if not applicable)

5: Payment Details

Select your payment method *	Credit Card Online (preferred method) Over the phone or via pro-shop >>> Call 9541 4960
Note your spot will NOT be confirmed until payment is received.	Name on Card * Card Number * Card Expiry * 01 02 03 04 05 06 07 08 09 10 11 12 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Card Type * Visa Master Card CCV Number * Amount * $60.00 per player