Online Registration

Details

All fields with an asterisk (*) must be completed in order to continue.

If you would like to contact us, please email us at: savealife@fightcancer.org.au

Event:

*Choose your event:

Participants:

*Registration Type:

*No. of Adults: @ $20 each.

No. of Children: 1 or more = $10.

Participant Names:

Personal Details:

Existing Donor No.:

*Title:

*First Name:

*Surname:

Year of Birth:

Company Name:

Position:

Contact Details:

*PH Home:

PH Business:

Mobile

*Email:

Address Details:

*Address Line 1:

Address Line 2:

*Suburb:

*State:

*Post Code:

Merchandise

Caps:

One size fits all: $15 each

T-Shirts:

Sizes:

Kids 4-6

$12

Kids 6-8

$12

Kids 10

$12

$15

XXL

$15

XXXL

$15

If you would like to order T-Shirts with your company logo on them, please email us
here: savealife@fightcancer.org.au

(Minimum order 15 T's. Logo must be EPS or AI format, file size must be less than 5MB).

Totals

Participants Subtotal: $

Mechandise Subtotal: $

Total: $

* I agree to the Terms & Conditions