President's Picnic 2017
Ebenezer Church grounds on Sunday 17 September 2017

Please complete ONE FORM PER PERSON to register your attendance.

Email address *
First name *
Your answer
Surname *
Your answer
Club Membership No. *
Non-members please enter "n/a"
Your answer
Mobile/Phone No.
Please use spaces eg. 0455 555 555
Your answer
Complimentary lunch *
Morning tea and lunch will be provided FREE to all current financial members in attendance. To get your free lunch you must have pre-registered for this event and ensure that your membership is paid up and current. Non-members and unfinancial members who wish to participate in lunch are required to pay $25 at the registration desk upon arrival. Closing date for Lunch registration is 16 September 2017.
I wish to participate in the following MX-5 Show event *
Closing date for MX-5 Show Events is 5pm Friday 8th September 2017
I am entering a ...
Vehicle Colour
Your answer
Registration Plate
Your answer
Build Year
Your answer
Required for Concours entrant only
Your answer
I wish to come along and acknowledge that the decision of the judges is final and binding. If participating in Concours, I agree to assist in judging in a Concours class in which I or a family member do not have an entry. Non-members are not eligible for trophies, however Certificates of Merit may be awarded where appropriate.
Acknowledgement *
I acknowledge that by submitting this form I have registered to attend the President's Picnic 2017. If I am subsequently unable to attend, then I will advise the Club Captain of my cancellation by emailing
A copy of your responses will be emailed to the address you provided.
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