The RRRR Registration Form

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Print and either email or fax the form below.

RRRR

Registration Form

Rally: □ Individual □ Team

□ Own Vehicle □Local Transport □Motorcycle

Choose how you want to participate:

□ Full Rally– 1 January-1February 2019

□ Leg A 1-10 Jan 2019 

□ Test Leg A Jan 2018

□ Leg B 12-18 Jan 2019 

□ Test Leg B Mar 2018

□ Leg C 20-26 Jan 2019 

□ Test Leg C May 2018

□ Leg D 27-Jan-1Feb 2019 

□ Test Leg D Sep 2018

Name___________________________________

Address:__________________________________

City______________State____Zip_____________

Phone (cell)_____________ (home)_____________

E-mail:________________________________________

Payments:

 Registration Form and $100 deposit upon decision

 9 months in advance for Vehicle participation

 4 months is advance for Local Transport participation

Participation Costs:

Full Rally-with vehicle-$6000 plus Vehicle Expenses*

Full Rally-local transport-$5000

Individual Leg– with Vehicle $5000 plus Vehicle Expenses

Individual Leg-Local Transport-$3500

Test Leg Participation-$3500

Costs include: Registration fee+Visas+Airfare+food+hotel

*Vehicle Expenses: Vehicle+Transport+Insurance+Fuel

Email form to: info@theafricanculturalexchange.org

Fax form to: 

866-223-7072

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The RRRR is a cultural discovery project of The African Cultural Exchange which can offer suggestions for fundraising activities