PRINTABLE PRE-ENTRY FORM: Pre–entry is required for all free offers and prizes.
GOIN’ COUNTRY 16th Anniversary2016
13th August, 2016: Assemble 12.30 pm at Queens Park, Ipswich
ASRF Sanction: SA128-04-2016end_of_the_skype_highlighting
NAME: ______ASRF No: ______
ADDRESS: ______
______POSTCODE: ______
PHONE: (___) ______MOBILE: ______
EMAIL: ______
VEHICLE ENTERED
Year: ______Make: ______Body Style: ______
Registration Number: ______Club (if applicable) ______
PRE – ENTRY FEE
People attending: Number of adults and children.
Number of Adults (15 years >): ……………………….@ $ 25.00 ea.=$______
Number of Children: (6 >14years): …………………@ $ 8.00ea.=$______
Under 6 yrs: FREE
EXTRA MERCHANDISE:
Event T shirt/s must be ordered by 11 July 2016…..@ $ 20.00 ea. Please write the number of shirts you would like next to their respective sizes below.
S / M / L / XL / XXL / =$Total Cost =$______
NOTE: Merchandise included in pre-entry fee Event Travel Mug (one per adult entry)
N.B Cut-off date for pre-entry benefits is last post Monday 8th August 2016.
Entries received after this date cannot be guaranteed a meal or event Travel Mug.
INCLUSIONS: Your Pre-Entry Fee for the 16thGOIN’ COUNTRYproudly presented byRODSQUAD ROD AND CUSTOM CAR CLUB INC.includes eligibility for all major prizes offered on the day, ONE Travel Mug for each paying Adult,Cruise Entry, Participation inthe STATIC DISPLAY, HOT WHEELS RACING, all ACTIVITIES and a SPIT ROAST DINNER (featuring pork or beef) followed by DESSERT.
BE SURE TO BRING A GENUINE HOT WHEELS CAR FOR ENTRY IN THE HOT WHEELS RACING
(The car must be an actual Hot Wheels brand as the control make).
ENQUIRIESTO:THE EVENT CO-ORDINATORS
GRAEME BLAIR: 0408 816 454 OR BRIAN LEEMBRUGGEN:0402 028 079
POSTAL ENTRIES TO: RODSQUAD, 113 Ness Rd. Salisbury Q. 4107
Pay by Money Order, Direct Deposit, Personal Cheque or Bank Cheque payable to:
RODSQUAD ROD AND CUSTOM CAR CLUB INC.BSB: 638070 Acc: 11498617
ONLINE ENTRIES:Refer to online entry application form