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    Online Entry: 2017 V 4 & Rotary South Island Champs | Sound Off

    Please read through the driver information on our website before completing this form.

    We recommend using Google Chrome or Firefox to complete this form.

    ENTRANT DETAILS

    First Name:(*)
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    Surname:(*)
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    Address:(*)
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    Town:
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    Contact Number:(*)
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    Email Address:(*)
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    Age:(*)
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    Occupation:
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    VEHICLE DETAILS

    Upload a picture of your car <2mb
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    Does your car have a WOF?(*)
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    Number Plate:(*)
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    Make:(*)
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    Model:(*)
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    Year:(*)
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    Colour:(*)
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    ENTRY DETAILS

    Entry Fee for Sound off: $50

    Entry fee covers 1 driver and 1 vehicle for Saturday Only (Levels Raceway). (includes event entry valued at $25 and an official competitor tshirt)

    Entry Desired:(*)
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    Free Tshirt size:(*)
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    Requirements for Sound Off:
    WOF or Reg aren't required, however 3rd Party insurance is prefered as 4 & Rotary Promotions 2006 Ltd takes no liability for any damages or loss at the event.

    Conditions of Entry:
    All vehicles must be in a reasonable condition including neat and tidy presentation. Entrants must accept directions and decisions from all event officials, management, judges & fire wardens. No correspondence will be entered into. Failure to comply with the conditions of entry will result in dismissal from the event and all entry entitlement canceled. No refund will be given.
    Entry fee will only be refundable if entry is withdrawn via email prior to 1st of November 2016 and an administration fee of $10 will be retained.

    Behavior:
    All entrants must conduct themselves in a civil and well-behaved manner at all times. 4 & Rotary Promotions 2006 Ltd reserves the right to refuse entry. Security will be in force all weekend and the police will be notified of the event. 4 & Rotary Promotions Ltd officials reserve the right to discipline or disqualify any person/s who behave in an irresponsible manner. Any person/s may be held responsible for any damage to property fittings/surroundings. Entrants are not permitted to conduct any business activity including buying/selling transactions, the display or distribution of promotional materials e.g. business cards, brochures, banners, for sale or company/promotional signs. 4 & Rotary Promotions 2006 Ltd will not be held liable for any loss, theft or damage to property, vehicle or persons resulting from the attendance of the event. 4 & Rotary Promotions 2006 Ltd have the right to deny access to any vehicle or persons into the event if they fail to comply to the conditions of entry. 4 & Rotary Promotions 2006 Ltd reserve the right to add or delete trophy categories or alter judging to suit each event, as they see fit. A full list of categories is available on our website.

    Advertising release:
    As a condition of entry, each entrant for themselves, as agent for accompanying adult and as parent or guardian for an accompanying child, grant the event promoter, 4 & Rotary Promotions 2006 Ltd, the exclusive right to photograph, video or film, or portrayal without names or credits as the event promoter may in their absolute discretion think fit.
    Acceptance Of Terms(*)
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    BILLING DETAILS

    Card Type:(*)
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    Direct Debit:
    Payments are to be made to "4 and Rotary Promotions"
    Account Number: 03-0179-0294140-002

    Please use your Number Plate as a Reference and Last Name as the Particulars.

    Payments are to be made within two working days from submitting this form.
    Name On Card:
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    Card Number: (no spaces)
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    Expiry ( MM/YY ):
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    Submit Entry
    After clicking the SUBMIT button you will be redirected to a new page to let you know your entry worked. Entries are not charged automatically! Processing usually takes 1-3 working days.

    Once we process and validate your entry and credit card details we will then confirm your entry via email and issue you with your registration number. Keep an eye on your Junk Folder too as these can often end up there.

    If you still see your entry form please check for errors in red.