Clone of 21st FE-FC Holden Nationals Event Registration Form

21st FE-FC Holden Nationals Registration

Murray Bridge SA - Easter 2027 (March 26th - 29th, 2027)
Please be advised that the only acceptable forms of payment are via Direct Deposit to the account details shown in the form or Cheque. Please note that entry will not be considered final until payment is received/Cheques cleared in the 2027 Nationals nominated bank account. A confirmation email will be sent to the Entrant once this has occurred.

Entries strictly close January 31, 2027 - This date cannot be extended

Items marked * are a mandatory field - please ensure they are completed
Full Name

First NameLast Name
E-mail
example@example.com(.au)
Mobile Phone Number
Format: 0000 000 000.
Club
If Other, please note full name of club below
Other Club
Note, you must be a member of one of the FE-FC Holden Car Clubs of Australia, or a formally invited club to participate. Details are available on the website.
Forum Name
If you are a registered user of the FE-FC Holden Discussion Forum, add your username here
Address

Postal or Street Address

Postal or Street Address Line 2

City/SuburbState/Territory

Post Code
Dietary Requirements - Entrant Only
If you have any special dietary requirements, please provide details here. We will pass these onto our caterers and do our best to accommodate.
ALL CLOTHING TO BE INDIVIDUALLY ORDERED BELOW.

The goodie-bag contains a cap only for the entrant.

Additional adults/partner/co-drivers/children listed below receive a meals package only.

The cost of children's meal package will be communicated directly to Entrants who have indicated children attending on their entry form once this has been negotiated with the Nationals venues. These can then be paid seperately to FE-FC Holden Car Club of SA inc. prior to the Nationals by the Entrant.

Additional caps can be ordered at the bottom of this form.

For clothing please nominate the appropriate size. As a sizing guide, the same style and sizes will be on offer as those for the Broken Hill and WA Nationals.

Please make sure that you select the correct number of additional adults when calculating the total payable.
Partner/Co-Driver (Adult 2)

First NameLast Name
Dietary Requirements - Adult 2
If you have any special dietary requirements, please provide details here. We will pass these onto our caterers and do our best to accommodate.
Additional Adult 3 (13yrs and over)

First NameLast Name
Dietary Requirements - Adult 3
If you have any special dietary requirements, please provide details here. We will pass these onto our caterers and do our best to accommodate.
Additional Adult 4 (13 yrs and over)

First NameLast Name
Dietary Requirements - Adult 4
If you have any special dietary requirements, please provide details here. We will pass these onto our caterers and do our best to accommodate.
Additional Adult 5 (13 yrs and over)

First NameLast Name
Dietary Requirements - Adult 5
If you have any special dietary requirements, please provide details here. We will pass these onto our caterers and do our best to accommodate.
Additional Adult 6 (13 yrs and over)

First NameLast Name
Dietary Requirements - Adult 6
If you have any special dietary requirements, please provide details here. We will pass these onto our caterers and do our best to accommodate.
Child 1 (3-12yo) Meal Package cost will be advised directly to Entrant

First NameLast Name
Dietary Requirements - Child 1
If you have any special dietary requirements, please provide details here. We will pass these onto our caterers and do our best to accommodate.
Child 2 (3-12yo)

First NameLast Name
Dietary Requirements - Child 2
If you have any special dietary requirements, please provide details here. We will pass these onto our caterers and do our best to accommodate.
Accommodation
Please provide the name or location of your accommodation
Vehicle Model
Vehicle Bodystyle
Vehicle Class (Please refer to rules & conditions for definitions of each)
Vehicle Rego (Number Plate)
If No Vehicle, enter "NA"
Vehicle (and Entrant) Details for Programme

Maximum of 200 words only please. If No Vehicle, enter "NA"0/200
Vehicle Image for Programme (1 image only please)

Please supply a good quality image of your vehicle suitable for inclusion in the event programme.
Cancelof
NOT including Murray Bridge, how many Nationals have you attended?
NOT including Murray Bridge, how many Nationals has your vehicle attended?
PAYMENT DETAILS

Bank Details for Direct Deposit payments are as follows:

Account Name: FE FC Holden Car Club of SA Inc.

BSB: 105-002

Account: 126268040

Please include as a payment reference: (Your Surname, State) NTNLS 27 to allow us to link your payment to your entry form.

If paying by Cheque, please make payable to FE-FC Holden Car Club of SA Inc. and post to: The Treasurer, FE-FC Holden Car Club of SA Inc., PO Box 74, Blackforest S.A. 5035 including a note with the above payment reference information.

If you wish to purchase polo shirts, T-shirts and caps, check the box to the left of the item and select the size, style and quantity as appropriate.
ENTRY COST BREAKDOWN
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Entry Fee
Includes meals (Friday night, Saturday night, Sunday lunch, Sunday night), plus entrant goodie-bag, which contains an event cap, lanyard, ID Tag plus other items.

$305.00 AUD



Partner / Co-Driver / Adult (13yrs and over)
Includes meals (Friday night, Saturday night, Sunday lunch, Sunday night)

$230.00 AUD Quantity



Vehicle Judging (optional)
Only judged vehicles are eligible for the main trophies at the event

$22.00 AUD Quantity



Additional Cap (optional)
Goodie bag includes one cap for Entrant

$28.00 AUD Quantity



MENS Polo Shirt (optional)

$58.00 AUD QuantitySize



WOMENS Polo Shirt (optional)

$58.00 AUD QuantitySize



CHILDRENS Polo Shirt (optional)

$58.00 AUD QuantitySize



MENS T-Shirt (optional)

$30.00 AUD QuantitySize



WOMENS T-Shirt (optional)

$30.00 AUD QuantitySize



CHILDRENS T-Shirt (optional)

$30.00 AUD QuantitySize



Total

$0.00 AUD
Should be Empty:

21st FE-FC Holden Nationals Registration

ENTRY COST BREAKDOWN