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Volkswagen Spectacular Booking Form
VW Booking
Full Name *
Please insert your full name
Address *
Please insert your address including suburb
Postcode
Please insert your postcode
Telephone *
Please insert your contact telephone number
Email Address *
Please insert your contact email address
1st Car Registration
Please insert rego number of car
1st Car Colour
1st Car Model
2nd Car Registration
2nd Car Colour
2nd Car Model
3rd Car Registration
3rd Car Colour
3rd Car Model
Do You require Accommodation (Minimum 3 nights)
Yes
No
Number of Adults
1
2
3
4
5
6
Number of Children (5 and over)
0
1
2
3
4
5
6
Arrival Date
Departure Date
Number of nights
3
4
5
6
7
8
9
10
more than 10
Valla Tourist Park (prices quoted per couple + one adult)
Duplex ($84 + $14)
Villa - serviced ($73 + $14)
Villa - unserviced ($60.50 + $14)
Cabin - unserviced ($47.50 + $14)
Camp Site ($25 + $7.50)
Nambucca Heads
Units No 1 ($85 + $20)
Motel No 1 from ($155 + $15)
Motel No 2 from ($110 + $15)
Caravan Park No 1 ($85 small cab)
Caravan Park No 1 ($90 large cab)
Thursday Activities (29th July 2010)
Raleigh Raceway
Yes
No
Number of Adults
1
2
3
4
5
Number of Children
0
1
2
3
4
5
Restaurant Dinner (Evening - Not Pre-Paid)
Yes
No
Number of Adults
1
2
3
4
5
Number of Children
0
1
2
3
4
5
Friday Activities (30th July 2010)
Raleigh Raceway
Yes
No
Number of Adults
1
2
3
4
5
Number of Children
0
1
2
3
4
5
Saturday Activities (31st July, 2010)
1pm River Cruise (Adults $25 Children 3 - 5 $5 - Children 5 - 15 $15)
Yes
No
Number of Adults
1
2
3
4
5
6
7
8
Number of Children (5 - 15 yrs)
5
4
3
2
1
0
Number of Children (3 - 5 yrs)
0
1
2
3
4
5
Fancy Dress Dinner (300 Limit - 2 Course meal - Adults $30 Children $15)
Yes
No
Number of Adults @ $30
5
4
3
2
1
Number of Children (5 - 10 yrs) @ $15
5
4
3
2
1
0
Number of Vegetarian Meals
0
1
2
3
4
5
Sunday Activities (1st August, 2010)
Swap Meet Site
Yes
No
Number of Inside Sites @ $77
0
1
2
3
4
5
Number of Outside Sites @ $44
0
1
2
3
4
5
Show & Shine Sunday at Park
Yes
No
Number of Car Entries @ $10
1
2
3
1st Car Rego Number
1st Car Colour
1st Car Model
1st Car Engine Capacity
1st Car Body Type
2nd Car Rego Number
2nd Car Colour
2nd Car Model
2nd Car Engine Capacity
2nd Car Body Type
3rd Car Rego Number
3rd Car Colour
3rd Car Model
3rd Car Engine Capacity
3rd Car Body Type
Sunday Activities (2nd August, 2010)
Monday Breakfast (Children under 10 free)
Yes
No
Number of Adults @ $15
0
1
2
3
4
5
Number of Children (over 10 years) @ $15
0
1
2
3
4
5
Registration Fees - $17 Single or $27 family (2 Adults, 2 Children)
Number of Single Entries @ $17
0
1
2
3
4
5
Number of Family Entries @ $27
0
1
2
3
4
5
Show Merchandise
T-Shirts - White (other colours by request)
Adult T-Shirts Size 14 @ $24
0
1
2
3
4
5
Adult T-Shirts Size 16 @ $24
0
1
2
3
4
5
Adult T-Shirts Size 18 @ $24
0
1
2
3
4
5
Adult T-Shirts Size 20 @ $24
0
1
2
3
4
5
Adult T-Shirts Size 22 @ $24
0
1
2
3
4
5
Adult T-Shirts Size 24 @ $24
0
1
2
3
4
5
Child T-Shirts Size 2 @ $14
0
1
2
3
4
5
Child T-Shirts Size 3 @ $14
0
1
2
3
4
5
Child T-Shirts Size 4 @ $14
0
1
2
3
4
5
Child T-Shirts Size 5 @ $14
0
1
2
3
4
5
Child T-Shirts Size 6 @ $14
0
1
2
3
4
5
Adult Jumpers Size 14 @ $27
0
1
2
3
4
5
Adult Jumpers Size 16 @ $27
0
1
2
3
4
5
Adult Jumpers Size 18 @ $27
5
4
3
2
1
0
Adult Jumpers Size 20 @ $27
0
1
2
3
4
5
Adult Jumpers Size 22 @ $30
0
1
2
3
4
5
Adult Jumpers Size 24 @ $30
0
1
2
3
4
5
Child Jumpers Size 2 @ $15
0
1
2
3
4
5
Child Jumpers Size 3 @ $15
0
1
2
3
4
5
Child Jumpers Size 4 @ $15
0
1
2
3
4
5
Child Jumpers Size 5 @ $15
0
1
2
3
4
5
Child Jumpers Size 6 @ $15
0
1
2
3
4
5
Child Jumpers Size 7 @ $15
0
1
2
3
4
5
Child Jumpers Size 2 @ $15
0
1
2
3
4
5
Glasses @ $12
0
1
2
3
4
5
Mugs @ $12
0
1
2
3
4
5
Hats @ $15
0
1
2
3
4
5
Beanies @ $15
0
1
2
3
4
5
Socks @ $12
0
1
2
3
4
5
Deposit of $100.00 for Accommodation ($50.00 for camp sites) MUST accompany this booking form. Please mail to Volkswagen Spectacular, P.O. Box 427, Nambucca Heads NSW 2448
Cheques should be payable to Volkswagen Spectacular or please pay by Direct Deposit. Account Name: Volkswagen Spectacular BSB: 012 754 Account No: 1815-59128
NO PETS are allowed at Valla Beach Tourist Park during the VW stay
NO FIRES of any description
ISSUED ARMBANDS to be worn by all entrants for the duration of the stay and will be issued when registration fee is paid
Please choose your preferred method of payment
Direct Deposit
Cash
Cheque
Money Order
