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2019 NSW SENIOR DIRT TRACK CHAMPIONSHIP

 11th and 12th MAY 2019

ON LINE Entry Form 

GREENHILL SPEEDWAY

KEMPSEY

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

Entry Fees:

– 1. ENTRY FEE:

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

Sidecars: $150 1st class

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

Demo class $40.

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.

Entries close: OPEN TILL THE 3RD MAY

Bank Details.

  BSB 704 189 Account No 00008553 Macleay District MCC

Please remember to put riders name and # as reference. 

NSW SEN DT CHAMPS 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*

Next of Kin and contact No

S/c Passengers Name

S/c Passenger Contact Details

S/c Passenger MA Lic & Exp Date

1st Class to enter

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Bike Details make and cc

2nd Class

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Bike Details Make and CC

3rd Class to enter

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Bike Details make and cc

I am a

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ABN if professional rider

Payment details for Macleay Dis MCC

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Entry Fees:

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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

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