Contact Name

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Vehicle Rego Number

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Phone

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Address

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Number of Adult Campers (Non Contestant)

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Number of Children Under 17 (Non Contestant)

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Number of Adult Campers (Contestant)

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Adult Contestant Name

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Adult Contestant Name 2

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Adult Contestant Name 3

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Adult Contestant Name 4

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Number of Children Under 17 (Contestant)

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Child Contestant Name

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Child Contestant Name 2

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Child Contestant Name 3

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Child Contestant Name 4

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Extra Info (Extra Contestants etc.)

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Camping Form
Email Address
Phone
Address
Extra Info (Extra Contestants etc.)
Charters Towers Country Music Festival Talent Quest
The Registration Officer
Box 20 Charters Towers Q. 4820
Mobile: 0418717669
ABN: 53 913 863 285
www.charterstowerscountrymusic.com
Please either click on the PayPal link below or contact the Committee on ctcm@bigpond.com for the bank details for direct credit.
Number of Adult Campers (Non Contestant)
Number of Adult Campers (Contestant)
Number of Children Under 17 (Non Contestant)
Number of Children Under 17 (Contestant)
Contact Name
Vehicle Rego Number
Adult Contestant Name
Adult Contestant Name 2
Adult Contestant Name 3
Adult Contestant Name 4
Child Contestant Name
Child Contestant Name 2
Child Contestant Name 3
Child Contestant Name 4
Camping Weekend Passes
Contestant Weekend Passes