2018 NATIONAL RALLY ENTRY FORM
To be held at Wagga Wagga NSW
Arrive PM Sunday 9th September and Depart Saturday 15th September 2018
Entrant’s Name………………………………………………………………………………………………………………….
Address……………………………………………………………………………………………………………………………..
Contact Phone Number…………………………………………………………………………………………………….
Club/s………………………………………………………………………………………………………………………………..
Rally Vehicle – Make……………………………..Model…………………………….Year………………………….
Vehicle Registration No……………………………………….
Insurance Policy Details……………………….……………………………………………..Comprehensive or TPP
Adult Passengers NamesChildren Names & Ages at Rally Date
1………………………………………………………………..………………………………………………………..
2……………………………………………………………….………………………………………………………..
3……………………………………………………………….………………………………………………………..
4……………………………………………………………….………………………………………………………..
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DISCLAIMER
I hereby certify that the vehicle(s) nominated herein is/are roadworthy and fully registered or
If conditionally registered it complies with all the requirements in the State in which it is registered. I also certify that the said vehicle(s) is/ are covered by full comprehensive or third party property damage insurance.
I (and my passengers) agree to abide by any rules and regulations of the meet and all instructions from the Rally committee and officers of the NSW Police Force and observe Road Rules set down by the NSW Government. Further, I/we will accept the decisions of the Rally Committee as final.
I/we agree that the Hudson-AMC Car Club of Australia Inc, its committee, Rally organisers and sponsors will in no way be liable or responsible for any loss of or damage to the vehicles, parts and accessories and/or injury (if any)( that may happen leading up to, or during or following the course of the Rally.
I (the entrant) and my passengers hereby waive the right of any legal action against the Hudson-AMC Car Club of Australia Inc, its committee, agents and sponsors.
I/we accept that the committee of the Hudson-AMC Car Club of Australia Inc and the Rally committee reserve the right to exclude any entrant from further activities with the Rally should that entrant, his/her passengers conduct themselves in a manner detrimental to the Club and/or motoring cause.
Signed ………………………………………………………………Date………………………………………
Entrant on behalf of those named hereon
The following information is required by the Rally organisers and the answers to all questions will remain confidential. Please complete and for all travelling in your party:
- Do you have any physical activity restrictions?(eg Stairs, walking distance restrictions) etc
…………………………………………………………………………………………………………………………………………..
- Do you require special motel access and facilities…………………………………………………………….
- Do you have any special meal requirements?......
- Will you require car trailer facilities?......
Designated Rally Accommodation – Carriage House Motor Inn Wagga Wagga Cnr Sturt Highway and Eunony Bridge Road, Wagga Wagga a Quality Inn. It is situated OFF THE Sturt Highway and has ample parking as well as facilities for car trailers. As entries received they will be allocated, firstly at the Designated Rally Motel, but please note there may be a need to use a second motel close by.
At the Designated Rally Motel, all accommodation rooms are equipped with new flat screen TV’s, Austar, Blue Ray DVDs , free Wi-Fi, Ipod docks, reverse cycle air conditioning, Iron & iron board, hair dryer, tea and coffee making facilities. A restaurant is on site.
Room Rates per night, please indicate preference
- Standard Queen - $130 per room per night ……………………………………..
Superior Queen/Single - $145 per room per night ……………………………
Executive King - $155 per room per night …………………………………………
Family Room (1 Queen, 2 Single) - $215 per room per night …………….
Please indicate your room preference.
Rally Dinner per head Adult (3 courses meal)…………………………………………$55.00
Children………………………………………………………………………..$15.50
Please contact Rally organisers if you require more than 2 people in a room so suitable options can be discussed.
We require the following monies with your rally entry form:
Rally Fee………………………………………………………………………………………………..$ 85.00
Accommodation- No. of People per room…..………..Deposit per room….$130.00
Rally Dinner Friday 14thSeptember 2018
No. of Adult meals@$55= $......
No. of Child meals@$15.50= $......
Total Rally Deposit Payable $......
Cheques and money orders made payable to Hudson AMC Car Club of Australia Inc
Post cheque together with completed & signed Rally Entry form before 30th April 2018,
To: Rally Secretary, Hudson AMC Car Club of Australia Inc. PO Box 60 Camden 2570
Telephone enquiries to Carole 0412552580
George 0296319072 or 0412915169
Les0414307427
Please join us for a week of fun,as we reacquaint with old friends and make new ones and explore what the Riverina has to offer whilst taking time to appreciate our wonderful vehicles from the Hudson, Nash & AMC marquee.
Aclub dedicated to the preservation of the fine cars of the Hudson, Nash & AMC Companies