Online Shop Name: *FirstLastEmail: *EmailConfirm EmailPhone:Mobile No: *MOVIE NIGHT FUNDRAISER 30th September @ 4.30pm SMALL FOOT1 x Movie Ticket2 x Movie Tickets3 x Movie Tickets4 x Movie Tickets5 x Movie Tickets6 x Movie TicketsAdditional Movie TicketAdditional Movie TicketAdditional Movie NightDetails: please add any comments or if ticket options do not suit your requirements please indicate how many movie tickets you would like to purchase $20 per ticket (includes a goodie bag) please adjust $ amount accordinglyCONCESSION CARD - 10 Club Nights (members) @ $2 per rider/night Non RefundableAdditional concession cardAdditional concession cardAdditional Concession CardTRAINING CONCESSION CARD (10 sessions) @ $2 per rider/session Non RefundableAmount: $ 0.00CONCESSION CARD - 10 Club Nights (non members)@ $3 per rider/night Non RefundableAdditional training concession cardAdditional concession cardAdditional Items:Bike Number Plate The club has plate available for club & challenge riders @ $10 eaAdditional Bike Number PlateCooler Bag $10 eaAdditional Cooler BagCooler Bag - available coloursBlueRedBlackYellowOrangeAmount: $ 0.00Payment Method: Bank Acc 03 0314 0215610 00 Reference - Surname *Direct CreditEftpos @ Club roomsCash @ Club roomsCheque payable to Hamilton BMX ClubP O Box 1251, Waikato Mail Centre, Hamilton 3240Total: *$ 0.00Payment Details: Hamilton BMX Club Acc: 03 0314 0215610 00 Once payment is received your concession card details will be updated on specific online registration forms &/or your purchase will be available at next club night.WebsiteSubmit
