ENTRY FORM 2020 VCC North Island Easter Rally Final Entries Close 12 March 2020
ENTRY FORM 2020 VCC North Island Easter Rally Final Entries Close 12 March 2020
VEHICLE Vehicle Make: Model: Year: Reg No: Vehicle Class: VCC VIC No: Rating cc: Competition(circle) Competitive Non Competitive Nominated Speed mph(circle) A:20-30 B:30-40 Route (circle) Short 55 miles Long 65 miles FEES Entry Fee Car plus Driver (Includes Rally Plaque) if paid before 7 Feb 2020: Extra Person: $15 pp x Late Entry Fee: Paid after 7 Feb 2020 $50 Extra Plaque: $30 x Friday BBQ: $15 pp x Child<12 $8 pp x Saturday Lunch: $15 pp x Child<12 $8 pp x Saturday Dinner BYO drinks: (Inc Museum Entry) $45 pp x Child<12 $25 pp x Bus Fare (return): $10 pp x Sunday Lunch: $15 pp x Child<12 $8 pp x Sunday Prize Giving Dinner Open Bar no BYO: $40 pp x Child<12 $10 pp x Total Payable: Please detail dietary requirements:
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ENTRANT’S COPY Please remove this insert, complete both copies and retain the Entrant’s Copy. Mail the handwritten form to the address below or scan and email.
ENTRANTS Driver’s Name: Navigator’s Name: VCC Membership No: Address:
Branch:
Email: Phone No: Mobile No: VEHICLE Vehicle Make: Model: Year: Reg No: Vehicle Class: VCC VIC No: Rating cc: Competition(circle) Competitive Non Competitive Nominated Speed mph(circle) A:20-30 B:30-40 Route (circle) Short 55 miles Long 65 miles FEES Entry Fee Car plus Driver (Includes Rally Plaque) if paid before 7 Feb 2020: Extra Person: $15 pp x Late Entry Fee: Paid after 7 Feb 2020 $50 Extra Plaque: $30 x Friday BBQ: $15 pp x Child<12 $8 pp x Saturday Lunch: $15 pp x Child<12 $8 pp x Saturday Dinner BYO drinks: (Inc Museum Entry) $45 pp x Child<12 $25 pp x Bus Fare (return): $10 pp x Sunday Lunch: $15 pp x Child<12 $8 pp x Sunday Prize Giving Dinner Open Bar no BYO: $40 pp x Child<12 $10 pp x Total Payable: Please detail dietary requirements:
Bank A/c No: 03 0667 0269227 02 Ref: Your Surname Code: Vehicle Reg No Cheques made payable to: Vintage Car Club of NZ Horowhenua Branch Post Entry to: Easter Rally Secretary PO Box 458 Levin 5540 or email: michael@gaffaney.com
$ 65 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $_____