Wines to Whales Shiraz

transfers@hsrotary.co.za

W2W Shiraz 2024

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) - R1'200

Start to Finish (No access to the vehicle during the race) - R850

Start to Race Village - R650

Race Village to Finish - R550

Please select transfer option

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 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 8th to the 10th of November 2024 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 8th to the 10th of November 2024 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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Security Code:(*)

Security Code:

Refresh

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Discount Amount:

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Full Price:

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