32nd National Meeting October 15th – 21st   2011
Registration form
Forward to the South Australia Nationals Secretary,
Natalie Farrell 11 Lotus Drive, Aberfoyle Park. SA 5159  (08) 8370 7210   email: ronafar@bigpond.net.au  
 
Name..........................................................................................................................................
Membership #............................      Club.................................................................................
Partner’s Name..........................................................................................................................
Membership #...............................     Club.................................................................................
Address......................................................................................................................................
Home Phone #.......................................................
Mobile #........................................................  Partner’s Mobile #...............................................
Email..........................................................................................................................................
Car...................................................  Reg. # & State.................................................................
Day		Event			                 Participating   Yes/No     Watching   Yes/No
Sunday 16th	Autokhana			     Self
						     Partner			
 or		Bus to Glenelg River Cruise      (Partner Only)
 or		Drive to Glenelg River Cruise     Self
					         	     Partner		
 or		Limestone Carving		     Self
						     Partner
Monday 17th    Crayfish Lunch (extra Cost)        Self
						     Partner
Thursday 20th  Mt. Alma Hill Climb		     Self
						     Partner
or		Bus Tour in lieu of Hill Climb       Self
						     Partner
	 
Do you or your partner have a CAMS licence?..........................................................................
Do you or your partner have any dietary requirements? ...........................................................
Do you wish to participate in the Kangaroo Island Trip? ..........................................................
Overnight accommodation     1 night....................................  2 nights..............................
Day trip only..........................................