Easter 2017
ANDRA Licences Number
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First Name
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Last Name
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Vehicle Make & Type
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Engine Make & Cubic Capacity
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Vehicle Class eg: SCO, SS/A, SS/AA etc
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Postal address
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Phone number (best contact)
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email address
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Bracket
Do you require a Divisional Day Licence? If yes please supply your drivers licence number
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1/8th Mile ET
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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.
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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.
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