PCFA Larapinta Track 2019

2019 LARAPINTA TREK FOR PROSTATE CANCER

Date: 3-8 May 2019 | Registration: $950 | Adventure Cost: $4000 | Minimum Fundraising: $4000
$500 DISCOUNT ON REGISTRATION FEE AVAILABLE UNTIL 1 FEBRUARY 2019
Fill out the following form to secure your place on the 2019 Larapinta Trek for Prostate Cancer.
Full Name*

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SECURE YOUR POSITION

A $950 non-refundable registration fee is required to secure your position for this Adventure. Once a deposit is paid, your position is secure and the administrative preparation for your adventure will begin.

THIS REGISTRATION FEE HAS BEEN DISCOUNTED IF YOU SIGN UP BEFORE 1 FEBRUARY 2019!

If paying by credit card, please indiciate below and you will recieve a phone call to process payment.

If paying by EFT, please indicate below and a tax invoice will be emailed to you.
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Payment

Discounted Registration Fee (Required)$450.00AUD

Quantity
Item subtotal:$0.00AUD

Adventure Cost$4,000.00AUD

Quantity

Subtotal $0.00AUDTax $0.00AUDTotal $0.00AUD

2019 LARAPINTA TREK FOR PROSTATE CANCER