Goldrush - Purchase Extra Meal Tickets
 
Online Entry
 
Please enter how many extra meal tickets you require at each location and your payment details.

Required fields are marked with a *.
 
    
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  Extra Meal Tickets
   
 
Your name *  
Registration number *  
Extra Meal Tickets    
for Manorburn ($25 each)  
for Tarras ($25 each)  
for Alexandra ($25 each)  
   
  Payment Details
 
Credit Card Type *  
Card Number *  
Expiry Date *   -
Card Number - re-enter*  
Expiry Date - re-enter*   -
Card Security Code*   (last three digits in the
signature area on the back
of your card)
Card-holder's Name *  
Billing Address *  
City*  
Country *  
Email address *  
Telephone number *  
Any other comments or requests?  
   
   
 
   
 
Goldrush Multisport Event :: info@goldrush.co.nz :: Alexandra, New Zealand :: 03 448 7107