* First Name
* Your Email
* Cell phone number
* Address(Suburb and City only)
* Vehicle make
* Vehicle model
* Vehicle Year
Payment: Cost per vehicle entering is R200. (All proceeds go to CHOC)
Rotary Club Brits Hartbeespoort
Brits, Branch Code: 1876-4600
Account number: 1876029781
Reference: RHCCM + Surname
Please email your entry form with the proof of payment to email@example.com to ensure registration.
* Please indicate below if you will be attending the Showing of the movie “GOODWOOD FESTIVAL OF SPEED” on Saturday 21st July 2018 at French Toast. Doors will open at 1630. The movie will start at 1800. Entry fee is R100 pp which includes a Burger and a beer or cold drink and entry to the movie.
* Number of people