Nomination 2012

This is my form. Please fill it out.

Name*

Address.*

Phone/ Mob.*

Email Address*

Vehicle Details.

Make*

Model / year

Rego Number.

Colour

Classes.

Some classes are automatic nomination. Best Overall,overall runner-up,People's Choice,people's Choice Runner-up,.

The Best

Engine Bay,, Display, Presented,Interior, Paint/Panel

Classes

Tick your Choice's

The Best

Business Vehicle Club Display. RaceCar

The Best

Ford Holden Hot Rod

The Best

Classic Vintage Project

the Best

Ute. Chick's Ute Feral Ute

The Best

Street Driven Best Late Model Import

The Best

Truck. 4 WD Mercedes

The Best

Late Model Bike. Early Model Bike Custom Bike

The Best

Harley Euopean Bike Jap

Nomination Fee.

Nomination fee ; $20 per vehicle 1 Breakfast ticket with each entry If nominated by 5pm Sunday 18th March 2012

Please Read and sign.

I agree that by submitting this form , my vehicle will not be moved between 8am -2.00pm I understand that if my vehicle is moved I will be held fully responisible for any injuries or damage caused.

Signed*

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