Hillclimb entry
Email address *
COOMA MONARO AUTOMOBILE CLUB Inc. Held under the International Sporting Code of the FIA, and the NCRs of CAMS. PO Box 758, Cooma NSW 2630 www.coomacarclub.com.au
CAMS Permit No. 219/2605/02 CMHAC Mt Gladstone Hillclimb Date: 26th May 2019.
Sunday 26th - Open Hillclimb Entry Fee: $80 Junior: $40
Entries Close: 5:00pm Thursday 23rd March 2019
Late Entries will not be accepted. Each driver must complete a separate form.
Driver Details
Hillclimb Date *
Name *
Your answer
Address *
Address, Town, State, Postcode
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Email *
Your answer
Phone Number *
Your answer
I confirm I have read and will be bound by the Supplementary Regulations for the event, and the entered vehicle complies with Schedules A and B of the CAMS Manual of Motor Sport. *
Required
Cams Affiliated Club
Membership card must be sighted at event
Your answer
Cams Licence Number
Licence must be sighted at event
Your answer
Vehicle Details
Make *
Your answer
Model *
Your answer
Body Type *
Your answer
Year *
Your answer
Engine Size (cc) *
Your answer
Forced Induction *
Required
Rotary *
Required
Type *
Download Competition Classes PDF from entry page for Category Types and Capacity Classes
Entries and Payment are to be forwarded to the addresses below:All monies are to be paid before Close of Entries.Withdrawals before 8:00 pm Thursday prior to the event will be refunded or credited, less an admin fee of $20.
Cheque/Money Order: Please make payable to ‘CMHAC’Bank Deposit: BSB: 032-720 Account: 183518 Name CMHAC(Please supply your name as reference on Direct Deposits)Forms can be mailed to: Event Secretary, CMHAC, PO Box 758 Cooma NSW 2630
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