25th Anniversary Registration

Name

Address

Phone

Number of years you where a member of the Southern Rugby Club

Do you have any dietry requirements?

Yes No

If yes please list your dietry requirements

Included in the Registration fee is – Gift bag and jubilee book on arrival, Friday night Supper, Luncheon, evening food plus entertainment on Saturday also a guest speaker for Sunday.

Registration $70 per person* – includes Chilly Bag or Wine Tote (please select) plus other memorabilia.

Commemorative Polo Shirt $35 – Male or Female (please select)

Size (please select)

Sunday Luncheon $35 per person (please select)

Total to pay:

Payment methods:
Internet banking: Please deposit funds into – Southern Rugby Football Club 25th Jubilee Account - 15-3950-0752592-000 (Please use your full name as a reference)
Cheque: Please return this registration form with your cheque payable to the Southern Rugby Club.
These can be posted to:
Southern Rugby 25th Anniversary
PO Box 382
Hawera 4640.

If you require accommodation click here for options.

25th Anniversary Registration

Major Sponsors

About us

Lets play

Watch

Sponsors

Contacts