DJ RALLY 2025 Entry Registration Form
DJ RALLY DATES: FRIDAY 14th MARCH to SATURDAY 15th MARCH 2025

ENTRY CLOSING DATE: 31 JANUARY 2025
SAVVA PERMIT NUMBER: P25/001
(Online form version: 240417)

IMPORTANT:

PLEASE COMPLETE THIS ONLINE APPLICATION IN FULL, WHICH INCLUDES EVERY PAGE. ON THE LAST PAGE THE SUBMIT BUTTON NEEDS TO BE CLICKED ON, TO ENSURE THAT THE APPLICATION HAS BEEN LOADED AND SENT SUCCESSFULLY. FAILING THIS, YOUR APPLICATION WILL NOT BE SUBMITTED TO THE ENTRY ADMINISTRATOR.

  • Copyright Notice


    This application and all its components are the intellectual property of Marconet Systems South Africa. Unauthorized use, reproduction, or distribution of this software, in whole or in part, is strictly prohibited without the explicit written consent of the author or Marconet Systems South Africa.

  • RIDER MUST COMPLETE THIS SECTION

  • Club Name
    Membership No
    Indemnity No VSR 24
  • Address Line 1
    Address Line 2
    City (and Country if not SA)
    Postal Code
  • Mobile
    Home
    Work

  • RIDER MEDICAL INFORMATION MANDATORY

  • Medical Allergies (Bee stings, foods, medication, etc)
    Current Medication (Blood pressure tablets, Asthma pumps, etc)
  • Medical Aid Company Name
    Medical Aid Number
    Medical Aid Type (Full, Comprehensive, Key Classic, etc) - Optional
  • Name and Surname
    Relationship
    Mobile No

  • Copyright Notice


    This application and all its components are the intellectual property of Marconet Systems South Africa. Unauthorized use, reproduction, or distribution of this software, in whole or in part, is strictly prohibited without the explicit written consent of the author or Marconet Systems South Africa.

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