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Trade & Market Site Holder Registration Form
Welcome, if you are attending the 19th Annual Old Wheels In Motion Rally as an Trade/Market Site Holder this is the form you will need to complete.  If you have any questions feel free to contact Mrs Cindy Cooper, Rally Coordinator on (07) 4992 2400 or 0429 383 296.
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  • 1
    Please provide your name.
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  • 4
    Please provide your address so that we can send a registration confirmation pack to you.
    Please Select
    • Please Select
    • United States
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curacao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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  • 5
    Please provide the best number to contact you on.
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  • 6
    Please provide your email address if you have one. This will allow us to forward regular rally updates.
    Email Verified

    The verification code has been sent to some@email.com
    Please check your mailbox and paste the code below to complete verification

    Didn't receive verification code? orReceiving the email may take a few minutes, thank you for your patience!
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  • 7
    Provide a brief overview of your product lines.
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  • 9
    If you have a copy of the relevant Certificate of Placement/Currency please upload this now.
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
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                              My Bag
                              0
                              My Bag
                              Great Product Name
                              $20
                              Quantity:1
                              Size:Small
                              RemoveEdit
                              Great Product Name
                              $20
                              Quantity:1
                              Size:Small
                              RemoveEdit
                              Great Product Name
                              $20
                              Quantity:1
                              Size:Small
                              RemoveEdit
                              Great Product Name
                              $20
                              Quantity:1
                              Size:Small
                              RemoveEdit
                              ORDER SUMMARY
                              Total costAUD
                              • Site - 3m This site is 3m x 6m with a 3m frontage.
                                $20.00AUD+RemoveEdit
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                                Quantity
                                Subtotal: $0.00AUD
                              • Site - 6mThis site is 6m x 6m with a 6m frontage.
                                $30.00AUD+RemoveEdit
                                Back

                                Quantity
                                Subtotal: $0.00AUD
                              • Site - 9mThis site is 9m x 6m with a 9m frontage.
                                $40.00AUD+RemoveEdit
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                                Quantity
                                Subtotal: $0.00AUD
                              • Site - 12mThis site is 12m x 6m with a 12m frontage.
                                $50.00AUD+RemoveEdit
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                                Quantity
                                Subtotal: $0.00AUD
                              • Site Holder Camping (Unpowered)Fee payable for each night staying on rally site. Camping may be at the site or in the main camping area please indicate your preference.
                                $10.00AUD+RemoveEdit
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                                Quantity
                                At Site
                                • At Site
                                • Main Camping Area
                                Subtotal: $0.00AUD
                              • Site Holder Camping (Powered)Fee payable for each night staying on rally site. Camping may be at the site or in the main camping area please indicate your preference.
                                $15.00AUD+RemoveEdit
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                                Quantity
                                At Site
                                • At Site
                                • Main Camping Area
                                Subtotal: $0.00AUD
                              • Friday Night DinnerIf you wish to attend this Complimentary Dinner, please register to do so, this will assist us when making the catering arrangements.
                                $FreeAUD+RemoveEdit
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                                Quantity
                                Subtotal: $0.00AUD
                              • Saturday Breakfast (Adult)
                                $10.00AUD+RemoveEdit
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                                Quantity
                                Subtotal: $0.00AUD
                              • Saturday Breakfast (Child)Child Under 14.
                                $5.00AUD+RemoveEdit
                                Back

                                Quantity
                                Subtotal: $0.00AUD
                              • Saturday Night Dinner (Adult)
                                $30.00AUD+RemoveEdit
                                Back

                                Quantity
                                Subtotal: $0.00AUD
                              • Saturday Night Dinner (Child)Child Under 14.
                                $15.00AUD+RemoveEdit
                                Back

                                Quantity
                                Subtotal: $0.00AUD
                              • Sunday Breakfast (Adult)
                                $10.00AUD+RemoveEdit
                                Back

                                Quantity
                                Subtotal: $0.00AUD
                              • Sunday Breakfast (Child)Child Under 14.
                                $5.00AUD+RemoveEdit
                                Back

                                Quantity
                                Subtotal: $0.00AUD
                                Total cost $0.00AUD
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