Sunassist Motor Show & Swap Meet
Sunday 24th September 2017
Club Name:Click here to enter text.
Entrant’sname:Click here to enter text.
Contact Phone Number:Click here to enter text.
Email address:Click here to enter text.
Type of Vehicle/s:Choose an item.
Vehicle Details:
Make:Click here to enter text.
Model:Click here to enter text.
Type:Click here to enter text.
Year:Click here to enter text.
Pre-Payment:please if you would like to arrange pre-payment.
The entry fee will be $5.00 per entry. PLEASE NOTE an entry is 1 car or 1 motorbike each additional vehicle will incur an additional $5.00 entry fee.
To arrange pre-payment please visit Sunassist reception at 66 Ninth Street, Mildura or call us on 5023 1906.
By submitting this form, you agree that your vehicle must be on the oval by 9:30am and it cannot be removed until 2:30pm due to insurance and occupational health and safety. Once this form is received you will be provided with further information regarding the show no later than Friday 1 September 2017.
Please return this form to Kristie Clark or Ashley Van Niekerkby fax on 50212565 or email
Please return this form by Friday 8thSeptember 2017
If you are interested in taking part in the Sunassist Car Rally on Saturday 23rd September 2017, please fill in the form on the next page.
Sunassist Car Rally
Saturday 23rd September 2017
Club Name:Click here to enter text.
Drivers Name:Click here to enter text.
Names of Passenger/s:Click here to enter text.
Contact Phone Number:Click here to enter text.
Email address:Click here to enter text.
Vehicle Details:
Make:Click here to enter text.
Model:Click here to enter text.
Type:Click here to enter text.
Year:Click here to enter text.
Rego No:Click here to enter text.
Payment Information:
The entry fee will be $20.00 per vehicle, driver inclusive,$10.00 per additional passenger. This fee includes morning tea and lunch.
Master Card/VISA Bank Transfer Cash
Agreement to participate:
- I acknowledge this is NOT a race and the time taken to complete plays no part in the event.
- I confirm my vehicle is registered and roadworthy.
- I confirm that I am licensed to drive in Victoria and will abide by all usual road rules.
- I confirm that I will not hold Sunassist or any member of Sunassist responsible for any loss, damage or injury incurred on this event.
- I will do all I can to ensure my passengers and I will travel safely while having fun.
Driver’s Signature: ______Date:______