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Free Merchandise Order Forms

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									                                                             MERCHANDISE & EVENT ORDER FORM
                                                           The GT Ford Performance 14th GT Nationals
                                                   Proudly hosted by the Falcon GT Owners Club of Queensland Inc.
                                                                    Printing neatly will ensure you get the correct merchandise.

                                                    Entrant Name:

                                                          Email:

                                              Contact Phone Number:               0
                                                     Merchandise orders close 30/01/2011.                                  ENTRANT No:

                                                             All merchandise will be available
One free entrant dress shirt                                         for collection at registration.
was ordered with your entry!
Friday Night Meet 'n Greet   *     *    *     *   *    *     *         @     $13.50                     each           $               -
Sunday Raceday - Temporary CAMS License           *    *     *         @     $20.00                     each           $               -
Sunday Raceday - Time Trials & Sprints        *   *    *     *         @     $50.00                     each           $               -
Sunday Raceday - 5 Happy Laps (No License required)          *         @     $20.00                     each           $               -
Sunday Raceday Spectator (Kids & 2 passes free per entrant)            @     $7.50                      each           $               -
Sunday Night Presentation Dinner        *     *   *    *     *         @     $75.00                     each           $               -
Please advise by post or email if any attendees have specific dietary requirements .
Monday Cruise and Brunch *         *    *     *   *    *     *         @     FREE                       each           $               -
Monday Bowden's Collection tour for out of town Entrants only          @     $30.00                     each           $               -
Tuesday Bowden's Collection tour for out of town Entrants only         @     $30.00                     each           $               -
Mens Dress Shirt                                                            *     0      @     $70.00   each           $               -
Sorry no 4XL              S         M     L   XL     2XL 3XL 5XL                 TOTAL

Ladies Dress Shirt                                                                0      @     $70.00   each           $               -
Sorry no Size 22           8        10   12   14     16      18      20     24   TOTAL                         √
Mens Polo Shirt                                                             *     0      @     $45.00   each           $               -
Sorry no 4XL              S         M     L   XL     2XL 3XL 5XL                 TOTAL

Ladies Polo Shirt                                                                 0      @     $45.00   each           $               -
Sorry no Size 22           8        10   12   14     16      18      20     24   TOTAL

Nationals Baseball Cap              *     *    *      *       *      *      *            @     $15.00   each           $               -
Nationals Magnet        *           *     *    *      *       *      *      *            @     $4.00    each           $               -
Nationals Sticker       *           *     *    *      *       *      *      *            @     $4.00    each           $               -
Nationals Port 750ml    *           *     *    *      *       *      *      *            @     $20.00   each           $               -
Nationals Stubby Holder             *     *    *      *       *      *      *            @     $10.00   each           $               -
Nationals Coffee Mug *              *     *    *      *       *      *      *            @     $9.00    each           $               -
Nationals Bucket Hat    *           *     *    *      *       *      *      *            @     $15.00   each           $               -
Once complete please forward by Email or Post.                                                           TOTAL $                       -
Payment by:       Please tick   Cheque:                      Money Order:                    Direct Deposit:            Credit Card:
Email:        gtnats2011merchandise@live.com.au            Post cheque or money order or email copy of deposit slip.
Post:    Falcon GT Nationals 2011, PO Box 5879, BRENDALE DC, Qld 4500           Attach cheque, MO or deposit slip.
Payment:      Cheques and money orders to be made out to: GT Nationals 2011.
                                          BANK                      BSB                  ACCOUNT                    ACCOUNT NAME
Direct deposit to:                       SUNCORP                   484799             60-186796-2                  GT Nationals 2011
Credit Card: *      Type of card?*                                   Card Number:
                                             CCV No:
   Expiry Date:                 *    MasterCard and
                                      3 digits on rear             Name on Card:
                                                          Visa are the only credit cards accepted.


Sponsored                                                                                                                  Revision 1
  by:                                                                                                                      5/08/2010

								
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