Riverland Registration

RIVERLAND RALLY 2025
REGISTRATION FORM

Complete this online form and it will be automatically submitted to the event Coordinator, you will receive an email with a copy of your completed form as an attachment.

Alternatively you can chick on the PDF image to the right to open a PDF file to download or complete manually. Using this method you will need to attach the file manually and send to the riverland2025@stagownersclub.asn.au email address.

Download Form

Driver / Vehicle Registration: Cost $120.00

Driver Details

Name(*)

Invalid Input

Address(*)

Invalid Input

Email(*)

Invalid Input

Mobile No.(*)

Invalid Input

Car Club(*)

Invalid Input

Vehicle Make/Model(*)

Invalid Input

Registration No,(*)

Invalid Input

Passenger Registration: $100.00 per person

Number of Passengers

Invalid Input

Total Cost

Invalid Input

First Passenger Name

Invalid Input

Second Passenger Name

Invalid Input

Third Passenger Name

Invalid Input

Optional Mobile No.

Invalid Input

Optional Mobile No.

Invalid Input

Optional Mobile No.

Invalid Input

TOTAL PAYMENT Due $

Invalid Input

PAYMENT Method

Payment EFT BSB 085-005 Account 701859395
A/C Name Stag Owners Club of Australia
NB: Enter initial and surname and on payment under description (eg JSmith for John Smith)

Number attending optional Friday Lunch at Riverland Wine Centre

Invalid Input

Number attending optional Dinner at Mallee Fowl Restaurant

Invalid Input

Please note any Special Dietary Requirements

Invalid Input

I acknowledge that I have read and accept the Terms and Conditions (refer to attached T&Cs)(*)

Yes Please accept Terms and Conditions to complete Registration.

Terms & Conditions

Riverland Registration

Information

Blog