ONLINE ENTRY: HOT4S SHOW-N-SHINE

First Name :

*

Surname :

*

Address :

*

Suburb :

*

State :

[SELECT] Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia *

Postcode :

*

Telephone :

( Work ) Please supply if possible
( Home ) Please supply if you have one
( Mob ) Please supply if you have one

Email :

*
Please confirm your address is correct or your entry will not be accepted

Age :

*

Occupation :

*

Is the vehicle registered?

Yes  No *

Number Plate :

Please supply if you have one

Make :

*

Model :

*

Year :

*

Colour :

*

Will vehicle be part of a Trade Display?

Yes  No *

If so, which one? :

Please supply if so

Entry Fee

Entry Fee for Show-N-Shine is $65 + 2% credit card payment surcharge. Entry Fee includes driver, 1 buddy pass and vehicle judging.

Total Due $ :

 includes 2% credit card payment surcharge.

Card Type :

Visa Mastercard Bankcard *

Card Number :

*

CVV Number :

  (last 3 numbers on signature strip) *

Name On Card :

*

Expiry ( MM/YY ) :

/ (mm/yy) *

I/We understand that the Promoter reserves the right to refuse any entry without necessarily assigning a reason.  No responsibility is implied or taken for any loss or damage that may or may not occur to my/our vehicle while competing at this event. I/We hereby certify my/our acceptance of the above rules and conditions of entry. 

NOTE: The organisers reserve the right to change/alter entry or Show-N-Shine procedure and Classes at any time as deemed necessary