North East Isuzu - MEFO Sport 85 Sidecar & Quad Series
ROUND 2 - Acusa Park - 19th June 2016
Rider Name
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Rider Licence Number
If buying a one event licence enter (one day)
Your answer
Rider Licence Expiry Date
If buying a one event licence, use event date
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DD
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Are you an interstate rider?
Passenger Name
Your answer
Passenger Licence Number
If buying a one event licence enter (one day)
Your answer
Passenger Licence Expiry Date
If buying a one event licence, use event date
MM
/
DD
/
YYYY
Are you an interstate passenger?
Class
Required
Race Number
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Bike Make, Model, Capacity & Year
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Sponsors
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Payment
Account Name: AUSTRALIAN SIDECARCROSS ASSOCIATION BSB: 083-957 Account Number: 56004-3201
Any other Questions or comments regarding entry or event.
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Contact Number
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