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Joining Team Ray White Yeppoon C4C

I'd rather just register as an individual

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First Name *

Last Name *

Email Address *

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Mobile *

Date of birth *

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Postal Address*

Rider Kits (Including your Rider Plate, Twist Ties and Helmet Sticker) are no longer being posted out. You will need to collect these items from the Start Line Information Tent on Russell Street on event morning.
NeoPro jerseys purchased or earned through fundraising will be shipped separately.
Selected fundraising rewards are collection only and will not be posted.

Important: Parcel lockers will not be accepted and may result in delayed delivery.

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Organisation details

If your postal address is a business, please let us know the business name below

Organisation Name

This event aims to raise money for cancer research. How do you feel about giving fundraising a go? *

Why are you taking part? *

Who are you taking part for? *

I am happy to share my story

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Terms and Conditions *

I have read and agree to the Participant Terms and Conditions. Must be over 18 years old to accept.

Participants aged 16–17 years old at the time of the event must have a parent or guardian submit a completed parental consent form to be eligible to take part. Please note that rider kits will not be mailed until the Mater Foundation team has received the completed parental consent form.

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