McLaren Vale Vintage & Classic 2019 Entry Form
ONLY ONE VEHICLE PER ENTRY PLEASE
Personal Details
First Name *
Your answer
Surname *
Your answer
Postal Address *
Your answer
Suburb *
Your answer
State *
Your answer
Postcode *
Your answer
Email Address *
Your answer
Mobile Number *
Your answer
Vehicle Details
Make/Model *
Your answer
Registration Number *
Your answer
Is Your Vehicle insured with Shannons *
Your answer
Would you like Shannons to provide an obligation free Quote? *
Your answer
Club Member *
Club Name
Your answer
Entry Payment $25 per vehicle *
Condition of Entry *
Please click on https://www.vintageandclassic.com.au/conditions-of-entry/ and read it carefully
Required
Notes
Late entries will not be parked with Club / Mates and will not receive Goody Bag, Plaque or be named in the Event Magazine.
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