Exhibitor's Registration Form

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Post Code

Contact Number*

Area CodePhone/Mobile Number

Email

Name

First NameLast Name

Name

First NameLast Name

Name

First NameLast Name

Name

First NameLast Name

Club/Organisation Name:

Public Liability Insurance Provider and Policy Number:

Please advise who is covered by the abovementioned policy:

i.e., the main contact and or any of the noted additional attendees

File Upload - Copy of Certificate of Placement/Currency

If you do not have the means to upload a copy of you certificate of placement/currency please bring a copy with you to present to the office on arrival at the rally site.

Name

First NameLast Name

Age

Exhibit/s (to be displayed at the event):

Old Wheels In Motion 2023

RegistrationN.B.: I an exhibitor is bring his/her partner/spouse/friend, etc. and he/she is intending to camp on site with the exhibitor, or enter the rally site during the rally with the exhibitor, he/she must also pay the registration fee (in lieu of paying the public gate entrance fee). Please provide the names of additional people above in the "Additional Attendees" section of this form so that passes can be arranged for them.

$5.00AUD No. of Attendees

Camping (Unpowered) Per Site Per Night Product Image

Camping (Unpowered) Per Site Per NightUnpowered camping site. $10.00 per site per night.

$10.00AUD No. of Nights

Camping (Powered) Per Site Per Night Product Image

Camping (Powered) Per Site Per NightPowered camping site. $15.00 per site per night. Please note that powered sites may require a longer power lead (15m or 20m) so please bring one with you. Campers will also need to share the water points on site as we cannot provide water points for each and every campsite.

$15.00AUD No. of Nights

Welcome Dinner: Friday 14th July, 2023 Product Image

Welcome Dinner: Friday 14th July, 2023 Complimentary dinner.

$ FreeAUD No. of Attendees

Breakfast (Adult): Saturday 15th July, 2023 Product Image

Breakfast (Adult): Saturday 15th July, 2023Fully cooked, plated breakfast.

$10.00AUD Quantity

Breakfast (Child - Under 14yrs): Saturday 15th July, 2023 Product Image

Breakfast (Child - Under 14yrs): Saturday 15th July, 2023Fully cooked, plated breakfast.

$5.00AUD Quantity

Presentation Dinner (Adult): Saturday 15th July, 2023 Product Image

Presentation Dinner (Adult): Saturday 15th July, 2023Three course traditional roast buffet and entertainment.

$30.00AUD Quantity

Presentation Dinner (Child - Under 14yrs): Saturday 15th July, 2023 Product Image

Presentation Dinner (Child - Under 14yrs): Saturday 15th July, 2023Three course traditional roast buffet and entertainment.

$15.00AUD Quantity

Breakfast (Adult): Sunday 16th July, 2023 Product Image

Breakfast (Adult): Sunday 16th July, 2023Fully cooked, plated breakfast.

$10.00AUD Quantity

Breakfast (Child - Under 14 yrs): Sunday 16th July, 2023 Product Image

Breakfast (Child - Under 14 yrs): Sunday 16th July, 2023Fully cooked, plated breakfast.

$5.00AUD Quantity

Total

$0.00AUD

I/we will be arriving on:

Date

I/we will be departing on:

Date

I/we will require assistance unloading/loading our exhibits:

YesNo

Are you intending on displaying your exhibits as part of your Club's display?

YesNo

What is the approximate area you will require to display your exhibits?

What will you be exhibiting at this year's event?

Provide us with some details about your exhibits. Tell us anything that might be interesting, unique or special so we can pass this on to our announcer.

I/we will abide by the ACRA (Qld) Inc. Safety Guidelines, and any directions presented at the exhibitor's safety briefing and I/we agree and recognise that during the conduct of the rally I/we will be required to comply with directions from the Club's officers on site.

Exhibitor's Registration Form

Personal Details

Additional Attendees

Club/Organisation Details

Insurance Details

Youth Exhibitor Information

Registration, Camping and Meals

Arrival & Departure Information

Exhibit Information

Terms & Conditions:

Payment: