EvVic Rider Rep Advice Form
Please complete and submit at least 5 days prior to your event
Event Name
*
Event Secretary
Name
Mobile Phone Number
Email
*
Confirmation of receipt of this report form will be sent to this e mail address
Classes Offered
4*
3*
2*
1*
EvA95
EvA80
EV65/45
Rider Rep Name and Class (Please add name for each class if more than one per rider)
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Submit
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