top of page

RE SCHEDULED

4TH NOVEMBER 2018

28TH AKUBRA CLASSIC

   Entry Form 

GREENHILL SPEEDWAY

KEMPSEY

This is a one day event.

All entries received for the 26th August will be transferred to this date unless advised by the rider by email to lyndelbutler93@gmail.com

Entries will re open for other rider who may wish to rider this event, but please note that we will be only taken entries until the grids are filled in each class set out in program for the 26th August.

Program click here.

Late entries will be takin till the 26th October or till grids are filled.

Please read Sup Regs click here before filling out this form.  

Entry Fees:

AMENDED TO SUP REGS

– 1. ENTRY FEE: Senior – ATV’s Class: $130 1st class $25 each extra class

Junior Class: $80 1st class - $20 each extra class.

Sidecars: $155 1st class - $40 each extra class.

Demo class $35.

Increase to entry fees due to Electronic timing being used All Class will be Electronically Timed: Transponders must be picked up and signed for before the start of practice Race license will be kept until transponder and/or bracket has been returned. Note: Fees will apply if transponders and/or brackets are not returned after your last race.

Scrutineer: Richard Davies.

Bank Details.   

  BSB 704 189 Account No 00008553 Macleay District MCC

Please remember to put riders name and # as reference. 

28th Akubra Classic Entry Form... If you are entering more then 3 class you need to fill in a 2nd form

First Name

Name*

MA Licence No

Licence Expiry Date

Address

City and Postcode

Birthday

Club

Mobile

Riding No

Email Address*

S/c Passengers Name

S/c Passenger Contact Details

S/c Passenger MA Lic & Exp Date

Next of Kin and contact No

1st Class to enter

arrow&v

Bike Details make and cc

2nd Class

arrow&v

Bike Details Make and CC

3rd Class to enter

arrow&v

Bike Details make and cc

I am a

arrow&v

ABN if professional rider

Payment details for Macleay Dis MCC

arrow&v

Entry Fees:

arrow&v

My entry fee is $

Sponsors Details

Confirm you have read the Sup Regs *

Make sure after you have hit the send button you will receive a sent message on the next page Might have to move page up to read it

Contact Information

Lyndel 0411 194 315

bottom of page