Show & Shine Registration

Show & Shine Registration

50% of all registration proceeds will be donated to Kurri Kurri Community Services
Name:

First NameLast Name
E-mail:
Phone Number

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Vehicle Information

Vehicle must be built in 1978 or earlier, registration is for the Vehicle inclusive of any towed caravans etc
Vehicle Registration
Vehicle Make:
Vehicle Year and Model:
Car Club details (if applicable)

Fee's*

Saturday ONLY$15.00AUD

Your application sticker will be posted to the address listed in this application

Sunday ONLY$15.00AUD

Your application sticker will be posted to the address listed in this application

Both days $25.00AUD

your application sticker will be posted to the address listed in this application

Total $0.00AUD