14th DRAGON RALLY Lucky for Some DATE: 26 July – 29 July 2012 ENTRY FORM - ENTRY FORM One entry per person NAME:*………………………………………………………………..……………………..…………… CLUB:*………………………………………………………………………Province……………….. Email Add*:…………………………………………………CELL.NO*……………………………. INDEMNITY AGREEMENT I agree to attend the Dragon Rally 2012at my own risk & Indemnify the organizers & the property owners against any loss or damage sustained to persons or property. I agree to ensure all firearms & dangerous weapons will be carried unloaded or lodged in a secure Gun Safe on the Resort property. It is agreed that actions contrary to this indemnity shall entitle the organizers and/or the Resort Owners to exercise their reserved & discretionary right of admission. SIGNED : ENTRANT*……………………………………………………………….. _______________________________________________________________________ PAYMENT ONE PERSON includes Cloth badge only *……………………R200 ea. (Before 23 July, 2012 Entry is Discounted by R20.00 (Metal & Cloth Badges incl.) Kids 0 – 6 yrs free 6 to16 R 120 No Badges *……………………R 120 ea 5 year Metal Badges: *...…………………R 25 ea. 10 year Metal badge: *……………………R 25 ea. Backup Vehicles: (parked in a secure area) *……………………R 100 ea. T Shirts: S M L XL Qty…… *……………………R 70 ea. 2XL & 3XL Qty…… *……………………R 75 ea. This year we will be donating R 10.00 of every T shirt sold to the Breast Cancer Journey of Hope. Beanies *……………………R 30 ea Scarves *……………………R 25 ea JACK FROST JOL (26 July only) incl. Badge *……………………R 80 ea This will include one night of camping TOTAL DUE: R ============= Please fill in all * relevant details. QUERIES: JO 0726485572 or Tubs 0834433091 Chalet Bookings Only: Dicky/Trevor Tel: 039-319-2574 Castaways Holiday Resort RALLY DEPOSIT: HIGHWAY DRAGONS STANDARD BANK – NEW GERMANY ACC: 05 484 960 8 Branch Code 045826 FAX DEPOSIT: 031-705-3591 or 031-701-8802 BEFORE 23 JULY 2012 FOR DISCOUNT Visit www.highwaydragonsmc.co.za for entry forms and more information. NO CARS OR BAKKIES ON SITE (Secure parking area On site perimeter with guards). NO EXCEPTIONS WILL BE MADE SO DO NOT ASK! Please Note: Late Entries – Badges not guaranteed Should you wish to reserve your badges we require your entry form before 23 July 2012. Any badges not paid for will be held until 10h00 on 28 July 2012. T shirts will not be held unless paid for in full. VENUE: CASTAWAYS HOLIDAY RESORT MUNSTER, PORT EDWARD EC/KZN