Australia Road Transport Heritage Centre "Back to Sylvia's Gap Run-2019" Memorial Plaque Form.

This is for the 2019 Plaque ONLY.

There is a small problem with this form that makes it currently only work in Desktop Version.
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SGR 2019 Plaque
The size of each Plaque is 160mm x 60mm
Mounting can be done by the self adhesive (on it already), Screws &/or Rivets in the holes already on it too.
Made of Aluminium
Please take note: Photo is a bit off colour from lighting.

Prices are as follow:

Plaque $10.00 Each (max 4 per order)

Postage & Fees $2.00 Total.

Payments can be made via Direct Deposit or Credit Card Only

Once you submit you will receive a email of the info you submitted, you will then receive another email within a few days with Payment Details or link.

Postage is to Australian Residents Only, and can be PO Box's, Home or Business addresses.

Purchases are open to All in Australia.

Please take note: Some email programs & email providers some time declare a form emails as spam, if you do not receive a email from us please check your spam folder first.
If you still having problems receiving from this form please contact the WebAdmin by clicking here

All details that have a RED * Must be filled in, any details that are not filled in the right way will void the Application.

A credit card payment form will be emailed to the address you provide in the coming days.


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