Please fill in the form below if you wish to have your Charger Photographed on the Wanneroo racetrack.

Capacity is limited. Anyone arriving on the day will unfortunately not be able to participate. Signup closes Friday 4th March 2022.

The fee for this sign-up is $20 by EFT Direct Deposit (BSB: 036082, ACC No: 134911). Please ensure that you use (Photos on the Grid and your Name) as a transaction reference.

General attendance (spectating) does not require that you sign up, you may just come along and attend on the day $5 per person over the age of 16 - paid at the gate.

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* indicates required fields

First Name	*
Last Name	*
Email Address	*
Phone	*
Vehicle Year	*
Vehicle Make	*
Vehicle Model	*
Vehicle Colour	*
Vehicle Rego	*
Are you a Charger Club of WA member?	Yes    No *
I will make a bank transfer of $20 shortly	Yes *
Form verification	Due to spam issues we have had to implement industry-standard user-validation. Please click the box below to ensure that the form is submitted correctly.