Pedal Prix – Medal Order If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Team / School Name * Contact Name * Phone Number * Email * Please Select Your Event Location: * Murray BridgeVictoria ParkMount GambierLoxtonBusselton Number Of 50mm Medals @ $7.50 each Number of 50mm Medal Boxes @ $4.50 Number Of 70mm Medals @ $9.50 each Number Of Keyrings @ $7.50 each Number of bottle opener keyrings @ $8.00 each Total Cost How Will You Be Making Payment * Direct DebitBPointCash On Collection What is 13 minus 4 *
