|
|
Entry Form
Please Print and Post
Christine Stahl
Camp Quality Caper
PO Box 236
OURIMBAH NSW 2258
Please accept my Entry for the "CAMP QUALITY CAPER".
I have read and understood and agree to be bound by the "Conditions of Entry"
FULL NAME of ENTRANT/DRIVER 1 _______________________________________________
ADDRESS for MAIL _______________________________________________ CODE _______
E-MAIL ____________________________________________ (Fax) _____________________
TELEPHONE (Priv) ___________________________ (Bus.)______________________________
CIVIL LICENCE No. ________________________________ STATE of ISSUE ______________
DRIVER 2 ________________________________________ LICENCE No. _________________
ADDRESS________________________________________ TEL (Day) ____________________
DRIVER 3 ________________________________________ LICENCE No. _________________
ADDRESS ________________________________________ TEL (Day) ___________________
DRIVER 4 ________________________________________ LICENCE No. _________________
ADDRESS ________________________________________ TEL (Day) ___________________
MOBILES (1) ____________________ (2) ____________________ (3) ___________________
Circle Shirt sizes: (1) S M L XL XXL XXXL (2) S M L XL XXL XXXL
WE WILL PROBABLY DRIVE A . . .
YEAR of MFR ___________ MAKE ______________________ MODEL ____________________
BODY TYPE _________________ ENGINE SIZE _________________NO of CYLS ___________
BODY COLOUR ___________________REGN No. ____________________ STATE ___________
If possible could we have CAR No. ____________
I enclose CHEQUE for . . . r $2,500 FULL ENTRY DONATION r $500 DEPOSIT
SIGNED Entrant/Driver 1 ______________________________ DATE / /
SEE "ENTRY CONDITIONS" OVER PAGE . . .
Estab. 1992 by BARMERA PTY LTD (ABN 13 000 675 347) for CAMP QUALITY Ltd (NSW Reg Charity 26302)
ENTRIES/FUND-RAISING: Christine Stahl ORGANISATION/PUBLICITY: C. Max Stahl
CONDITIONS OF ENTRY
IN ENTERING the "CAMP QUALITY CAPER" FUND-RAISING CAR RALLY, I agree to…
ENTER into all activities before and during the Caper in a spirit of fun, good fellowship and a desire to assist Camp Quality :Limited in its work for children with cancer.
REPRESENT Camp Quality in a proper and respectable manner at all times, intending that my participation in the Caper will not only raise funds but also create and expand public awareness of Camp Quality.
DEVELOP and carry out fund-raising activities to achieve my Entry Donation and more, thus qualifying for the Caper Champion Fund-Raiser Award.
PARTICIPATE in scheduled fun and fund-raising activities to the best of my ability during the Caper and generally contribute to the spirit of the Caper.
HELP my fellow Caperites when and wherever assistance seems required.
REFRAIN from public consumption of alcohol (except in appropriate locations) and other activities that could bring discredit to Camp Quality and my fellow Caperites.
ADHERE to the "Caper Code" in the spirit of sportsmanship and goodwill to my fellow Caperites.
