Chrysler Wake Run Entry Form

The Chrysler Wake Run is held on the last weekend of August. The event runs for 3 days however entrants can enter for 1, 2 or all 3 days.
Please tick which days you will be attending on the form. Pre-entry is preferred. Entry fee is per car. T-shirts need to be pre-ordered on your entry form. Go to our Facebook page for entry & pre-order cut-off dates.
When paying by direct deposit P-L-E-A-S-E remember to note down the Bank details before hitting submit & remember to actually make the transfer and add your name as the message. Thank you.

Name(*)
Please let us know your name.

Email(*)
Please let us know your email address.

Street
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Suburb
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State
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Postcode
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Phone
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Mobile Phone
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Days attending

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For catering purposes:
How many people attending Friday Meet n'Greet
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How many people attending Saturday Breakfast
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How many people attending Saturday lunch cruise
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1st Car Details
Make
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Model
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Body Type
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Year
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Rego
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Colour
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Club
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2nd Car Details
Make
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Model
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Body Type
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Year
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Rego
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Colour
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Please add any additional cars in the Comments box below.
Chrysler Wake Run 2025 T-shirts will cost $50 each & MUST be pre-ordered by 30th July 2025.
No orders for shirts will be accepted after this date.

Sizes: S, M, L, XL, 2XL, 3XL, 5XL
Let us know in the Comments which size(s) shirts you would like to order.
Comments
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Please complete this form and then deposit money to:
Hunter Valley Chrysler Club
BSB: 637 000
A/c No: 712 917 660

Please use your name as the reference.

Conditions of Entry

Entrants, by ticking the box below, agree that upon acceptance of their entry they shall release the Wake Run Committee and all persons connected with the organisation of the event from any and all liabilities for damage to any person or property.
Entrants further agree to accept all directions and decisions made by any member of the Hunter Valley Chrysler Club during the course of the weekend.
Agree to conditions of entry.(*)
Please tick the box to agree with our conditions.

Payment Reminder(*)
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Security Check(*)
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