Mildura Summit Round 23rd & 24th September 2017
Prize Money is as below, if you are not happy with the amounts please don't enter the event. Group 3: Winner $400 Runner Up $200 Semi $50. Top Sportsman & Outlaws: Winner $500 Runner Up $250 Semi $75. Group 2: Winner $600 Runner Up $300 Semi $100 *
First Name *
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Last Name *
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Postal address *
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ANDRA Licences Number *
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Phone number (best contact) *
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email address *
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1/8th Mile ET *
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Vehicle Make & Type *
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Engine Make & Cubic Capacity *
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Bracket *
Vehicle Class eg: SS/A, SS/AA etc *
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Pitt Requests: Exactly how much room you need not want. Who you would like to pit next to or near. WE WILL DO OUR BEST TO FULLFIL THESE REQUEST BUT ISN'T ALWAYS POSSIBLE. *
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There is NO power supplied at the Track. If you require power, please contact our local Coats Hire. I have read and understood this. *
Entry Fees are: Group 2 $275, with 5 crew. Group 3 & 4 $200, with 3 crew. SCO & TS $225 with 5 crew, Juniors $90 with 3 crew. Upon filling out this form you will be email the Clubs bank deposit details. You will only be put on the Entry List when your payment has been received. I have read and understood this *
Where are you from? Town & State. *
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How many people are travelling in your group? *
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How long will you be staying in the Sunraysia area? *
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What will your average daily spend be whilst here? *
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