North East Isuzu - MEFO Sport 85 Sidecar & Quad Series
ROUND 1 - CRYSTAL BROOK - 14TH MAY 2017
Email address *
Rider Name *
Your answer
Rider Licence Number *
If buying a one event licence enter (one day)
Your answer
Rider Licence Expiry Date *
If buying a one event licence, use event date
Your answer
Are you an interstate rider *
Passenger Name
Your answer
Passenger Licence Number
If buying a one event licence enter (one day)
Your answer
Passenger Licence Expiry Date
If buying a one event licence, use event date
Your answer
Are you an interstate passenger
Class *
Required
Race Number *
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Bike Make, Model, Capacity & Year *
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Sponsors
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Payment *
Account Name: AUSTRALIAN SIDECARCROSS ASSOCIATION BSB: 083-957 Account Number: 56004-3201
Required
Any other Questions or comments regarding entry or event.
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Contact Number *
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EVERYONE MUST PROVIDE AN ABLE BODY, OVER THE AGE OF 16 FOR FLAG DUTY!
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