Easter 2017
ANDRA Licences Number *
Your answer
First Name *
Your answer
Last Name *
Your answer
Vehicle Make & Type *
Your answer
Engine Make & Cubic Capacity *
Your answer
Vehicle Class eg: SCO, SS/A, SS/AA etc *
Your answer
Postal address *
Your answer
Phone number (best contact) *
Your answer
email address *
Your answer
Bracket *
Do you require a Divisional Day Licence? If yes please supply your drivers licence number *
Your answer
1/8th Mile ET *
Your answer
Test n Tune will be run on Friday night 5.30pm until 8.30pm. Additional cost $50 (Free for SCO) *
Pit 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. *
Your answer
I will be displaying my car at the Good Friday Show n Shine from 8.00am to 1pm *
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: SCO, with 5 crew $300. Remaining Group 3 $200, with 3 crew except TS who get 5, Juniors $100 with 3 crew. Upon filling out this form I will 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. *Entry fee includes upgrade to IDBF 1 insurance $15.40 *
Prize Money as Set out below: SCO Winner- $5000, Runner Up $2500, Semi $1000 Group 3- Winner $500, Runner Up $200, Semi $100 Juniors- Winner $200, Runner Up $100, Semi $50 *
The Credentials office will be open from: FRIDAY: 4-6pm SATURDAY: 8 -11am Please insure all DRIVERS & CREW are signed in before this time.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms