Fall Rally

Registration Form

DATE: September 10th 2011

The Royal Canadian Mint
Winnipeg, MB, Canada

Please register before Saturday September 3rd, 2011.

Mail changes to your registration to Emma Frost



  • Please note that you will automatically receive an email confirmation of your registration details, you will not need to print out the online registration form. However we strongly recommend that you print out the confirmation email.
    You will be required to include your registration number with your payment check.


  • Any questions can be directed to


    • ALL FIELDS ARE REQUIRED.

    Contact Information

    Check your spelling!



    Last Name

    First Name



    Phone number Number must be in the format 999-999-9999

    E-Mail Address
    To which Club(s) do you belong?

    I will send my cheque (made payable to District 64)this week I will pay on the door

    Dietary requirements:


    Please forward your cheque (made payable to District 64) to

    Emma Frost, 842 Jubilee Avenue, Winnipeg, R3L 1P9

    within 7 days of registration.

    Payment may also be made on the day of the event.


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