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ENTRY FORM

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Payment will be accepted by bank deposit, cheque or money order.  To make payment, print and complete the entry form and send cheque or money order made payable to Haultech Off Road Pty Ltd and mail to:

Haultech Off Road

Shed 2 / 9 Agnes St

Bundamba Qld 4304

Bank Deposits: 

Haultech Off Road Pty Ltd

Bank Of Queensland

BSB 124 001    A/C 20174202

Clearly indicate your name and team name with your payment, and fax your deposit slip & Entry Form to (07) 3816 3193.