CSCA Supersprint R1 / 2nd of March 2019 - Entry Form
How to Enter:

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


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: Club Lotus Australia Inc.
BSB: 633 000
A/C No: 144279056
Please add in the Description: CSCA Your Name (e.g. CSCA John Citizen)
Fees are $185 per driver. An additional $15 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 26th of February, 2019)

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

Entrant's First Name: *
Your answer
Entrant's Last Name: *
Your answer
Entrant's Street Address:
Your answer
Your answer
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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