RACES CASHBACK

 

1. Please record your name. *

 

2. Please record your membership number. *

 

3. Please record your email address. *

 

4. Please record a contact number. *

 

5. Please record the name of your local HASSRA club. *

 

6. Please provide the name of hotel, amount paid, dates of booking and any other members sharing the booking. *

*
*
*
*
 

7. Please select the event you are attending

 

8. By submitting my request I acknowledge that if my application is successful i will be required to submit proof of my hotel booking and I confirm that any member details submitted are those of the people travelling. *