August 2018
ENTRY FORM
2018 ANNUAL AUSTRALIAN KIMBER RUN - SUNDAY 11th November 2018
ENTRIES CLOSE FRIDAY THE 26th October 2018
This entry form is required to be completed and the “Conditions of Entry” (overleaf) must be
signed as acknowledgement of such conditions and forwarded with appropriate fee together
with a stamped self addressed envelope or your email address for your confirmation
of entry
Entry costs: A registration fee of $29.00 per vehicle applies. A further $20.00 per person is
payable to cover the cost of a sit-down barbecue lunch at Bridgewater Motor Museum
BYO chairs and drinks
Entrants & Vehicle Details:
NAME:………………………………………………………PHONE........................
ADDRESS:………………………………………………………
POST CODE: ..............Email Address..........................................................
CAR: MG………… MODEL:………………………..YEAR………………
REGO NO. …………….
.COLOUR:................................
NOTE: Entry is subject to the Conditions of Entry, overleaf, which must be signed by the
owner/ driver in acknowledgement of these conditions.
Payment Arrangements: Registration @ $29.00
Number of Meals …………@ $20.00 per person
$...................... Total $............................
Special meal requirements................................................................No Required.......
Payment by; (Please circle) CASH / CHEQUE or CREDIT CARD
If paying by Credit Card (Please circle) (1) MASTER CARD or (2) VISA
Card No.
Card Holders Name…………………………………………………
Card expiry date
.Card Holders Signature:……………………………………………………
Please make all Cheques & Money Orders Payable to: MG Car Club of SA
Return completed entry forms to: 2018 Annual Australian Kimber Run
C/- MG Car Club of SA Inc
PO Box 200,
Brompton SA, 5007
Together with a stamped self addressed envelope please!! Or your email address In
legible writing ( do not use upper case writing if your address is in lower case)
Any further information please contact: Berry Treffers, AAKR Co Coordinator
by Mobile 00434 485 331 or by email: [email protected]
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