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DIECI PASSI 2009
Dieci Passi 2009 - in the heart of Clarens
9th – 11th October 2009
R 2500.00 - per person sharing
R 3460.00 - per person
Includes:
2 nights accommodation - bed and breakfast - Protea Hotel Clarens
Entry fee
Gala dinner - Friday night
Saturday night "Pasta Party" on the square
Gift pack
Lunch at Katse dam - Lesotho
Refuel at Katse dam - Lesotho
Border crossing costs and road Taxes - Lesotho
CLARENS / DUCATI festival
Live entertainment
Alternative accommodation is available on request
Payment can be made by credit card, electronic transfer or direct deposit. * Credit card payements in-store only
Tel : (011) 301 7037 for more info
Please complete the entry form below to make a booking:
Firstname:
Surname:
Name of Spouse or Person sharing:
Postal Address:
E-mail:
Tel(w):
Cell:
Fax:
Model Of Bike:
Medical Aid Details:
T-shirt Size:
-- SELECT T-SHIRT SIZE --
Small
Medium
Large
Extra Large
Extra Extra Large
Extra Extra Extra Large
Extra Extra Extra Extra Large
Please make your payment into the following account:
FNB BANK WIERDA VALLY
BRANCH: 260 950
ACCOUNT NUMBER: 62136106839
* If paying via deposit or electronic transfer please fax confirmation to +27 (0) 11 301 7038. Please phone after faxing proof
of payment to confirm if it has been received and confirmation will only be given once payment is made.
** Please take note that space is limited and we will be working on a first come first served basis.
CANCELLATION
A full refund will only be made if cancelled place is filled.
DECLARATION
I am familiar with the safety precautions arranged, and by riding on the public roads, acknowledge that I am satisfied
with these precautions.
RELEASE WAIVER & INDEMNIFICATION:
The undersigned participant does hereby execute this release, waiver and indemnification for himself/herself/themselves
and their successors, representatives and assignees and hereby agree(s) as follows: To release the organiser (Ducati SA)
from all liability, not limited to all bodily injuries and property damage arising out of participation in the event, it being
specifically understood that the said event includes the operation and use by the undersigned participant and others of
motorcycles. To indemnify the organiser and representatives and hold them harmless from any liability, loss, damage,
cost, claim (s) as a result of the undersigned participation in the said event.
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