official entry form ENTRANT DETAILS Title (Please circle) MR. MRS. MISS. MS. First Name: _________________________Surname:_____________________________ Street Address:___________________________________________________________ Town:____________________________State:____________P/Code:_______________ Telephone AH:______________________ ___BH:______________________________ E-Mail:____________________________________ T-Shirt Size (Please circle) M L XL XXL VEHICLE DETAILS. PLEASE NOTE: NO REGO, NO ENTRY. Number of Cylinders (Please circle) 4 6 8 Rotary Make:____________________________Model:_________________________________ Body Style:______________________Rego No:___________Expiry Date:___________ No. of people in Car: Adults:______________ Children:_______________ Judged: YES NO Driving Events: YES NO *Burnout: YES NO *All burnout Vehicles must have Tail Shaft Loop fitted. (refer to advice sheet on website) PARTICIPATING IN BEST CLUB DISPLAY: YES NO NAME OF ENTRANTS CLUB: Bendigo Street Car Club IN CAR STEREO COMP: YES NO ENTRANT FEES Entry Fee includes:ENTRANT and ONE BUDDY PASS, ONE EVENT T-SHIRT. Admittance to all day and night activities at DECA including 15th ANNIVERSARY CELEBRATIONS!! (Children under 14 years accompanied by an adult are FREE) All entrants MUST include a current photograph of vehicle being entered. Entrant For Show and Shine ONLY (NO DRIVING EVENTS $100.00 Entrant – Before Sept 1st - $150.00 ____________ Entrant – After Sept 1st - $170.00 ____________ Entrant – After Oct 26th - $220.00 ____________ Buddy Passes [Per Buddy] Max 3 per car:…………@$50.00 each ____________ Extra T-SHIRTS [Circle] M L XL XXL. @$35.00 each ____________ TOTAL $ ____________ All entries strictly CHEQUE/MONEY ORDER payable to: ‘SPRING CAR NATIONALS’ and forward your remittance to: P.O. Box 2217 Shepparton, Victoria, 3632. All general enquiries contact: Les Adams 0417511557 : Darryl George 0407313152