Gillies 100 Vehicle Registration and Merchandise Gillies 100 Nomination Use this form to nominate your vehicle for the Gillies 100 Centenary Celebration Step 1 of 3 33% This field is hidden when viewing the formNext Steps: Install the Stripe Add-OnTo accept payments on this form you will need to install the Stripe payment add-on. Important: Delete this tip before you publish the form.Gillies 100 Vehicle Nomination QuantityThis will provide you with an event parking voucher (which will include a specially coloured bumper sticker) which will be mailed out to you. Total cost for registration of your vehicle for the event including postage is $10.00. Please note - the colour of the bumper sticker sent will identify where you are to park. For example, the Heritage Red bumper sticker will authorisie parking in Allumbah Park, Heritage Brown will be in the centre of Yungaburra, and Black, Purple or Orange will be for Bruce Jones Market Park.Note: Up to two vehicles only can be entered on this form. Entry vouchers (bumper stickers) will be mailed out in June 2026. Price: $ 10.00 Quantity Collectors Metal Car Badge QuantityIf you would like to purchase a once-off, collectable car badge celebrating the Gillies Centenary event, please order now! You will not be able to order later and they will not be available elsewhere! The metal collectable badges are only available to entrants for the Gillies 100. Please note that the Collector's Badge will not be mailed out to you but will need to be picked up from the Shannon's Tent on the day of the event. No orders will be taken after 20 May 2026 as the badges will be crafted after this date. Price: $ 20.00 Quantity Name(Required) First Last Contact Number(Required)Email(Required) Are you a member of a Car / Motorcycle Club? Yes No If so, name of Club?Make of your Car / Motorcycle(Required)Model?(Required)Year Manufactured(Required)Make of your 2nd Car / MotorcycleIf you want to enter a second vehicle, include details here.Model?If you want to enter a second vehicle, include details here.Year ManufacturedIf you want to enter a second vehicle, include details here.Upload an Image of your Vehicle/sWe are looking for great photos of beautiful cars and motor cycles! Though this is not a required field, we would encourage you to upload one to three images of your vehicle. For us to be able to use the images for administration or promotional material for the event, we will need your approval to use them (see below verification sections). Please note: No images of children are to be uploaded.If you have any challenges uploading the images of your vehicle, still answer the next two questions regarding approval and email the images to [email protected]. Drop files here or Select files Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 512 MB, Max. files: 3. Approval to use the uploaded ImagesAs the owner of the vehicle, I approve the use of the uploaded images to be used by the organisers of the event for any administration or promotional purposes. Yes No Approval of any Persons depicted in the ImagesAs the owner of the vehicle, I verify that any person depicted in any of the images has provided approval for their image to be used by the organisers of the event for administration or promotional purposes. Yes No If there are images of persons which have been uploaded, please provide names of the persons in them from LEFT to RIGHTFor example: Image 1, left to right - Bill Smith and Maureen Brown. The reason for this is that if the images is provided to the media, or published on Social Media, we will need to provide names of who is depicted in the image. Vehicle Display TimeI understand that due to safety reasons, (in that the event does not conclude till 5.00 pm) the vehicle will need to be displayed prior to 10.00 am on Saturday 11 July 2026 and stay in situ to 5.00 pm. Yes No Is there any other comment you would like the organisors to take into account in planning for this event? Shipping Address(Required) Street Address Town/City State Postcode Shipping for Special Nomination Bumper Sticker is Free(Required) Total Credit Card(Required)