Mid-week Catchups Participation Form

Use this form to register your participation in an AROCA Queensland Mid-week Catchup and provide the participant and vehicle details required by the organiser. For all other AROCA enquiries, please use the general contact form.

Register for a Mid-week Catchup
Fields marked with an asterisk (*) are mandatory and must be filled in.
*Name/s of participating members:
*Club Membership Number:
*Contact eMail:
*Mobile Phone:
*Suburb / Departure Location:
If departing from outside Brisbane, please also include the broader location, e.g. Bundall, Gold Coast.
Vehicle Details
*Make:
*Manufacture Year:
*Model:
*Exterior Colour:
*Reg No.:
Additional message:
*Verification:
Please type in the red verification number displaying at left. This number helps prevent spam being sent to us.

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