   Sunday, 22nd March 2015 Entrant Details: Surname: _______________________________ Given Name: _______________________________ Address: __________________________________________________________________________ _______________________________________________________ Post Code: _______________ Phone (B/H): (____)_________________________ Phone (A/H): (___)______________________ Email: _____________________________________ Club: _________________________________ Make of Vehicle: ___________________________ Year: ________ Registration: ______________ Body Style: ________________________ Daily Driver: Yes / No (please circle relevant one)         Size Qty Male S Singlets Female 8 Kids 8 Size Qty M M 10 10 Size Qty Size Qty Size Qty Size Qty Size Qty L XL XXL XXXL XXXXL L XL XXL 12 14 16 18 20 12 14 Earlybird Entry Fee: $10.00 closes 18 March 2015 Entry Fee on the Day: $15.00 Gates open for entrants: 8am Judging cut off time 12 NOON (please hand completed registration forms to the Merchandise stand on the day, if you have not pre-entered) Healesville Showgrounds (Sporting Complex), Don Road, Healesville Melway Ref. 278 H5 Send Entries and Payment To: Mountain District Car & Bike Show, 205 Monbulk Road, SILVAN VIC 3795 PLEASE MAKE CHEQUES PAYABLE TO:     Gates open to the general Public at 10am Prizes and Presentations at 3.00pm (To be eligible for trophy you must be present at presentation) Conditions of Entry: I, hereby release the organizers, Mountain District Car & Bike Show of any liabilities to participants going to, whilst at, and going from “Mountain District Car & Bike Show”. I, the undersigned, declare that I have read and understand all conditions and agree to abide by the same. I further agree to accept all direction and decisions made by the organizers during the course of the “Mountain District Car & Bike Show”. I have drawn the conditions to the attention of the family and other persons attending the show with me. I, the undersigned, give Mountain District Car & Bike Show permission to use images of my car/bike in publications, on the website, for merchandising purposes or any media releases (ie photo’s, DVD’s etc) at the organisers discretion. Signed: ______________________________________ Print Name: __________________________________ Dated: ______________________________________ You MUST include a Stamped Self Addressed Envelope for Entrant Sticker to be sent out. Enquiries: Jacqueline or Greg (03) 9737 9660 Email: [email protected] CHARITY EVENT MARCH 22nd 2015 The 9th Mountain District Car & Bike Show 2015 Supported by ALL PROCEEDS WILL GO TO CHARITY Like us on Facebook facebook.com/mountaindistrictcarandbikeshow Sunday 22nd March 2015 Healesville Showgrounds (Healesville Sporting Complex) Don Road, Healesville Vic (Mel. Ref. 278 H5) HOT RODS ● CLASSIC, CUSTOM & VINTAGE CARS ● CLASSIC & CUSTOM BIKES ● UTES, CHEV/F-TRUCKS ● ~ MORE FOOD STALLS AVAILABLE IN 2015 ~ ❖ GATES OPEN AT 10 AM* CHILDREN’S TO GENERAL PUBLIC ENTERTAINMENT 3 ❖ PRIZES & PRESENTATIONS PM $5 entry for Adults ❖ TRADE ALLEY (children under 16 FREE) ❖ LIVE BANDS FROM 10 AM SPONSOR AND VENDOR ENQUIRIES WELCOME - THE INFERNO’S PH Jackie 03 9737 9660 ❖ - THE MIGHTY KINGS * Gates open at 8am for Vendors and Entrants PROUDLY SPONSORED BY NEW BELGRAVE MOTORS