Ballarat Motor Show Application Form

Event Vehicle Entrant Application Form
Event
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

PostcodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Club
Payments

Display Car $10.00Display Bike $10.00
Payments*
prevnext( X )
Display Car$10.00AUD

Display Bike$10.00AUD

Club Display$10.00AUD

No of Vehicles

Total $0.00AUD
Photo (optional)

Upload a File

Cancelof
Places are limited and there is no guarantee of acceptance. If there is any problem with your application you will be notified.
Vehicle Information
Make*
Model*
Year*
Colour*
Engine Make
Engine Capacity
Rego Number
Additional Information
Do you want your vehicle to be judged?*

YesNo
Conditions of Entry
All entrants must conduct themselves in a safe and orderly manner. Entrants are liable to any damage to grounds and buildings, its surrounds or other entrants/trade stands property. The organisers will not be held liable for any loss, damage to vehicles goods or persons. The organisers reserve the right to cancel or refuse entry to any vehicle or persons into the event where in their oppinion the entrant has displayed unacceptable behaviour or exposed the event to disripute. Entrants must be conversant with the rules and regulations of the promoter and agree to be boun d by them. Entrants must understand that the promotor has the right to refuse entry without necessarily assigning a reason.
Signature of Entrant
I have read the conditions of entry and agree to follow and obide by the directions given by the organisers and assistants. I agree to enter this event at my own risk and release the organisers and/or affiliates from any laibility arising from any circumstances whatsoever.
Signature*
I agree to have my vehicle available for commercial/promotions*

YesNo
Should be Empty:

Event Vehicle Entrant Application Form