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CSCA AHOC Supersprint R3 / 16th June 2018 - Entry Form
How to Enter:

Each Entrant/Driver of a Double Entered car is to complete and submit a separate Entry Form.

ENTRY IS A TWO STEP PROCESS:

1. Complete and then submit this Form.

2. Make your payment.
Direct Deposit is the only form of payment that will be accepted.
Account details:
A/C Name: The Austin Healey Owners Club (NSW) Inc
BSB: 032 669
A/C No: 252564
Please add in the Description: CSCA Your Name (e.g. CSCA John Citizen)
Fees are $180 per driver. An additional $17 per driver for electronic timing transponder hire.
A late fee of $10 will apply if entries are received past the closing date of entries (after 6th of March, 2018)

Entries will not be accepted unless this entry form has been submitted online AND your payment has been made as required.

Entrants First Name *
Your answer
Entrants Surname *
Your answer
Entrants Street Address
Your answer
Suburb:
Your answer
State:
Postcode:
Your answer
Contact Phone Number: *
Your answer
Email Address: *
Important. All communication will be to this email address.
Your answer
CSCA Car Club Member: *
Please select your car club.
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