Entrant Form

Please enter your details into the online form, which will also process payment. A PDF November 2021 Entrant form is also available.

Contact Details
First Name*
Surname*
Address*
Suburb*
Postcode
State
Country
Phone*
Email*
Vehicle Details
Make
Model
Year
Rego
Entry Details
Going on Zippel Cruise
- Yes
- No
Is your vehicle part of a club display
- Yes
- No
Club Name*
Show Entry Fee*
Price: $ 90.00
You receive a display area of 6m x 3m, 2 weekend passes, carpark pass & goody bag
Show N Shine
Price: $ 40.00
Jubilee Pavilion North Car Park – Saturday ONLY (2 tickets included & goody bag)
Additional Day Passes
Price: $ 15.00
Discount price if ordered now
Power Required
Price: $ 95.00
Extreme Event T-Shirt
Price: $ 25.00
T-Shirt size/s required: S, M, L, XL, XXL, XXXL
Total
When you submit this form you'll be taken to a PayPal window to complete the transaction. You do not need a PayPal account, you can pay by Visa or Mastercard for processing payment of the total shown.
Terms & Conditions*
- Agree
Please select this checkbox to confirm that you agree to the following: All entrants agree that on acceptance of their entry they shall release Ultimate Expos and all persons connected with the organisation of the “Extreme Auto Expo” from liabilities for any damage that may occur to either property or persons. Entrants also accept that the promoter reserves the right to refuse any entry without necessary assigning a reason. Entrants further agree to all directions and decisions made by the event manager during the course of the “Extreme Auto Expo”. Further terms and conditions may apply, and be provided subsequently.
ENTRY AND PAYMENT MUST BE RECEIVED BEFORE 1st November 2021, or a $50 LATE FEE applies - for indoor show only.

Carpet walls, carpet hire and furniture is available from Adelaide Expo Hire: aeh.com.au Phone: 8350 2300

Set up is Friday November 12th from midday to 4pm. Pack up Saturday night November 13th 8.15pm to Midnight & Sunday 8am to 12 Noon.

Contact Geof Tartoosie 0410 356 356 Email: gsgarage@tpg.com.au
Notes
If you have any questions or requirements, please note them here.
Email
This field is for validation purposes and should be left unchanged.

Contact Details

Vehicle Details

Entry Details