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McLaren Vale Vintage & Classic 2022 Entry Form (Covid restrictions will apply)
ONLY ONE VEHICLE PER ENTRY PLEASE
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Personal Details
First Name *
Surname *
Postal Address *
Suburb *
State *
Postcode *
Email Address *
Mobile Number *
Vehicle Details
Passenger Details (Names & phone numbers of each passenger)
Make/Model *
Registration Number *
Is Your Vehicle insured with Shannons *
Would you like Shannons to provide an obligation free Quote? *
Club Member *
Club Name
Entry Payment $30 per vehicle *
Condition of Entry *
Please click on https://www.vintageandclassic.com.au/conditions-of-entry/ and read it carefully
Required
Notes
No Late entries accepted
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