Your Registration Form

Mini Bash 2017
Or at least let me
know you are
coming
Raising funds for VARIETY the children’s charity
Fun Raisers Car Club
PO Box 3113
Stafford DC 4053
Secretary: Mal Johnson
Phone: 07 3356 0000
0412 737780
Email: [email protected]
Invitation to:
Mini Bash 2017
18th & 19th Feb 2017
THE TREK:
Fun Raisers Car Club mini bash 2017 will go from Stafford to Palmview with an
overnight stay at Tin Can Bay
We will be travelling over the Great Dividing Range through the Mary Valley
and Cooloola area and along the picturesque ranges of the hinterland of
the Sunshine Coast.
Our overnight stop has previously proven to be a great night out and this
year I am sure will be no different.
Our overnight activities will be at Sleepy Lagoon Hotel at Tin Can Bay.
ACCOMODATION:
Arrange your own at Tin Can Bay.
The preferred locations are.
Sleepy Lagoon Motel:
Sleepy Lagoon Hotel:
07 5488 0653
07 5486 4124
Raising funds for VARIETY the children’s charity
IMPORTANT
T
FRIENDS & FAMILY
This is a bash that where you can take your friends and family and let them
experience what the bash is really about.
LIMITED ENTRIES:
We do not have the recourses to have a large number of cars so I would
suggest you enter early as we will have to put a limit on the number of
entries. (Club members have preference)
The Fun Raisers Car Club Inc
For those of you that do not know, the Fun Raisers Car Club was established
so we could get cheaper registration for bash cars.
We currently have over 150 bash cars registered with the club so if your bash
car is over 30 years old and you are paying full rego you are paying too
much.
Join the Funraisers Car Club and rego will cost you about $200.00 per year.
The proceeds of the club go to Variety.
Raising funds for VARIETY the children’s charity
Mini Bash 2017
18th & 19th February 2017
Hosted by:
Fun Raisers Car club Inc
APPLICATION FOR ENTRY
NAME
…………………………..…………………………………………………………………………
ADDRESS
……………………………………………………………………………………………………..
…………………………………………………………………………………………………….
TELEPHONE
HOME: ……….…………………..………….
WORK: ……………….…………………..
FAX:
MOBILE: …………………………………
……………………………………….
EMAIL: ……………………………………………………………………………………………..
VEHICLE DETAILS:
MAKE ………………………..……… MODEL
BASH CAR NO.
…………………………….
________ PRIVATE CAR
Entry fee covers;
We will give you an ID.
Lunch , dinner & breakfast @ Tin Can Bay
All cheques to be made payable to
Team Members:
YEAR …………………
"Fun Raisers Car Club Inc”
Entry Fee: $120 per person (Child $50)
AMOUNT
1._______________________
____________________________________________________
___________________
2. ._______________________
____________________________________________________
___________________
3. ._______________________
____________________________________________________
___________________
4. ._______________________
____________________________________________________
___________________
Number of children at $50 (
)
___________________
Raising funds for VARIETY the children’s charity
TOTAL
_________________
Check enclosed:
Credit Card :
Direct deposit : Westpac
BSB: 034 054
Account No 190 802
Note: When paying with direct deposit please put your name against the deposit and email or fax the receipt of payment.
I understand that acceptance of entries in the Mini-bash is at the absolute discretions of The Fun Raisers Car Club Inc. and that receipt of this
Application Form does not guarantee a place on the Bash. I also understand that my team and I enter entirely at our own risk and that we will
each sign an Indemnity Form prior to the event.
DATE: …………………………
SIGNED: ……………………………………………………………………
PLEASE PRINT NAME: ……………………………………………………
Enclosed please find my entry fee $________________
THIS FORM IS TO BE FORWARDED WITH REQUIRED DEPOSIT,
AS PER PAYMENT CONDITIONS ABOVE, TO:
EMAIL: [email protected] FAX (07) 3356 0005
Credit Card Payment:
Card Type:
_______________
Name on Card: _________________________________
Card Number: _______ _______ _______ _______
Expiry Date: ______/_______ Security No: _______
ACCOMODATION: Book your own at Tin Can Bay
Mini Bash ENQUIRIES
Contact: Mal Johnson
Dave Noonan
0412 737780
0428 294933
Wk 3356 0000
Ah 3353 4363
Return entry to:
The Secretary
Fun Raisers Car Club
P O Box 3113
Stafford DC 4053
Raising funds for VARIETY the children’s charity