PORTER MEMORIAL RALLY SATURDAY, 10th MARCH, 2018 ENTRANT/DRIVER: _______________________________________________ ADDRESS:_______________________________________________________ ______________________________________________________ NAVIGATOR:_____________________________________________________ CONTACT PH/E-MAIL:_____________________________________________ MAKE & YEAR OF VEHICLE:________________________________________ REG. NO.:_________________________
VIC No.:________________
VCC M/SHIP No.:___________________
TICK IF TOURING ONLY
ROUTE:
Long
□
Short
□
□
CLASS:________________ (see back page for categories)
PREFERRED SPEED: (Between 15 & 40mph):______________________mph ENTRY FEE: $ 25.00 PLAQUE (optional) $8.00
$___________
LUNCH:
BYO
DINNER:
# meals required @ $25.00 each_____
$___________
TOTAL
$___________
ENTRIES CLOSE 24th FEBRUARY, 2018 (No Late Entries Accepted) Payment details on the back of this page. RALLY ORGANISER: Andrew Dittmer 06 379 6967
RALLY TREASURER: Robert Notley 0272121091
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