If you are a member and you've registered as a website user, type your user name and password then select 'Retrieve My Details' to pre-populate this form. If you are not a website user, you will need to fill in the required fields manually.

User Name

Password

Name

Street

Suburb

Postcode

Mobile

State

Home Phone

Email

Birth Year

Sportident #

Birth Year

Sportident #

Birth Year

Sportident #

Birth Year

Sportident #

Birth Year

Sportident #

Birth Year

Sportident #

Birth Year

Sportident #

Birth Year

Sportident #

Sportident Costs: $

Camping Costs: $

Registration Fees: $

Total Costs: $

Make Cheque and Money Orders Payable To: Orienteering Queensland Inc

Post To: 2010 Queensland Orienteering Championships
Attn Chris Spriggs c/- PO Box 114, Spring Hill Qld 4004

Please provide the cheque or money order number for our reference:

Pay by electronic transfer to BSB:638-070   Account No: 7951639   Note This is an S21 account (HBS Customers)
Please provide the details of the transfer here.

Transfer Description (Use primary contact name)

Transfer Date

Receipt Number

Do you require split start times?

List name of adults requiring above

Do you require split start times for shadowing?

List name of child(1) and shadower(2)

We are encouraging participants to download the programme from the website. Only a limited number of copies will be available at Registration.
I / we would like to obtain our programme:

Please indicate how many people will attend the event dinner. Adults $20, Children up to 8 years old $5