enter relevant details in this secure form to register your participation in ChallengeMD! Goldfields 2017
You will receive an email shorlty after completion of your registration with: full details of the ride and its requirements, a tax deductible receipt for $250 being your personal donation / registration and all relevant information on fundraising and what to bring on the ride.
An information night will be scheduled shortly at the MDA Head Office in North Melbourne where you will have an opportunity to learn more about ChallengeMD! Goldfields 2017 and the work undertaken by MDA in support of Programs, Services and Research.
MDA will respect and protect your privacy.
note, all fields require data entry.