Mercer SuperCycle 2018 | Experience a ride like no other.

Please express your interest in becoming a Mercer SuperCycle Volunteer by using the registration form below. We will review your application and be in touch soon. Thanks for your interest!

Please express your interest in becoming a Mercer SuperCycle Support Crew by using the registration form below. We will review your application and be in touch soon. Thanks for your interest!

1. About Me

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2. Address* - (not displayed on website)

3.Profile

If you are having trouble with images, visit this page to create your image.

(image will be resized and cropped to 245px wide x 250px tall)

(image will be resized and cropped to 70px wide x 70px tall)

(tell your supporters why are you are participating in Mercer SuperCycle 2018)

4. OTHER INFORMATION

(not displayed on website)

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(Relationship, First Name, Last Name, Phone Number. Not displayed on website)

(ie.First Aid Certificate, licence to drive bus,etc)

5. Which charity(s) would you like to support?*

100 per cent of your funds raised will support patient accommodation in South Australia
50 per cent of your funds raised will support patient accommodation in South Australia and 50 per cent of your funds raised will support patient accommodation in Victoria
Please note: your charity of choice must be a registered tax exempt designated gift recipient (DGR).
50 per cent of your funds raised will support patient accommodation in South Australia and 50 per cent of your funds raised will support your charity of choice

   Terms and Conditions and Acknowledgement and Release*

Thank you for expressing you interest in becoming a Mercer SuperCycle Support Crew! We will review your application and be in touch soon

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