Wines to Whales Pinotage

transfers@hsrotary.co.za

W2W Pinotage 2025

Personal Information

First Name:(*)

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Surname(*)

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ID or Passport Number(*)

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Your Email(*)

Please let us know your email address.

Mobile Telephone Number(*)

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Alternative Contact (Full Name)(*)

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Alternative Telephone Number:(*)

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Select your transfer options

Transfer Option(*)

Start to Race Village & Race Village to Finish (2 Trips) - R1'270

Start to Finish (No access to the vehicle during the race) - R890

Start to Race Village - R690

Race Village to Finish - R580

Please select transfer option

Early Bird / Late Surcharge:(*)

Pay before the 1st of october 2025 (Less 10%)

Pay after the 2nd of October 2025

Book after the 28th of October 2025 (Plus 20%)

Please select the desired color.

Current Total

Total:

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Confirm Payment Conditions:(*)

I acknowledge that service fees contributed are entirely non-refundable.
Without limitation, if the event, or any part thereof, is cancelled, postponed or otherwise amended, or if any of the amenities, goods or services in relation to the event are no longer provided, whether due to force majeure, safety reasons, failure by service providers to perform, or any other reason or cause, service fees contributed will not be refundable.

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Vehicle Information

Rental Vehicle(*)

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Rental Company:

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Rental Company Name:

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Rental Vehicle Type

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Rental Booking Reference

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Vehicle Make (Toyota,VW,...)

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Vehicle Model (Hilux,Polo,...)

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Vehicle Colour (White,Blue,...):

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Vehicle Transmission:

Automatic

Manual

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Vehicle Registration

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Special Instructions

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Terms & Conditions

My Vehicle is insured by (Santam, Rental Co, ...)

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Vehicle & Driver Conditions:(*)

Vehicles must be roadworthy and have sufficient fuel for transportation to Somerset West, Elgin or Hermanus
Vehicles must be comprehensively insured and the Insurance Company should be informed that a driver from Helderberg Sunrise Rotary Club (includes any valid licensed driver appointed to drive who may not necessarily be a member of the Helderberg Sunrise Rotary Club) will be driving your car on the 03 - 05 November 2025 HSRC accepts no responsibility for incorrect event/options ticked

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Insurance Conditions:(*)

I also confirm that I have informed this insurance company that a fully licensed, designated driver of the Helderberg Sunrise Rotary Club (includes any valid licensed driver appointed to drive who may not necessarily be a member of the Helderberg Sunrise Rotary Club) will be driving on my behalf on the 03 - 05 November 2025 between Lourensford Estate/Somerset West, Grabouw and Hermanus.

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Indemnity:(*)

I hereby absolve the Helderberg Sunrise Rotary Club designated driver and the Helderberg Sunrise Rotary Club and hold them harmless in respect of any damage or claim of whatsoever nature which I, my vehicle or any third party may sustain arising either directly or indirectly from any act or omission by the said designated driver whilst driving my vehicle as set out above.

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Rental Indemnity:(*)

I confirm that I shall inform the Rental Car Company that a fully licensed, designated driver of the Helderberg Sunrise Rotary Club (including any valid licensed driver appointed to drive who may not necessarily be a member of Helderberg Sunrise Rotary Club) will drive my rental vehicle on my behalf on dates of my cycle race.

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Security Code:(*)

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Discount Amount:

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Full Price:

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