2028 Corvette Nationals Entry

Canberra – Dates TBC

Please fill out the entry form below and submit with your payment. Use your Surname and Rego as the reference with your direct deposit so we can match your payment with your entry.

Please submit entry forms by TBC. Entrant Bag and National Shirts not guaranteed after this date.

Payment by Direct Deposit

BSB: 032-724 Account No: 285 773
Use Surname and Rego as reference

Entrant: $350 | Additional Person: $300 | Extra Nationals Shirt: $55 | Extra Port: TBA

Returns and Enquiries: Michelle Fraser, Registrations Secretary
Email: lyndonandmichelle@hotmail.com | Ph: 0412 011 988

Entrant Details - Required

First Name *

Surname *

Postal Address *

State *

Postcode *

Phone

Mobile *

Email Address *

Member of which Club

Special needs or Dietary Requirements

Bringing your Vette?

How many?

Trailering?

Additional Person - Optional

First Name

Surname

Postal Address

State

Postcode

Phone

Mobile

Email Address

Special needs or Dietary Requirements

Corvette Details (1)

Type (Coupe, Roadster, Convertible)

Year

Colour

Rego

Is your Vette to be judged?