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
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.
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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