Bendigo Bank International Mountain Challenge Application Form

Printable copy of application form: Mtn Challenge Application Form 2013

NOMINATIONS OPEN – MAY 14th, 2013

NOMINATIONS CLOSE – JULY 19th, 2013

CLOSING DATE:  Entries close on receipt of 100 entries

ENTRY FEE:   $80

Payment Options:

Cheque/money order payable to: Cooroy Pomona Lions Club

Direct Deposit:              Bendigo Bank   BSB 633108 A/C 1425 24503

APPLICATION FORM  to be completed and signed and posted with cheque,  money order or proof of direct deposit to:

King of the Mountain – Race Nomination
PO Box 144
POMONA  QLD  4568

Enquiries to Race Co-ordinator, Barry Stewart on 07 5485 1030