Queensland Saloon Car Association Inc.

2009/10 4 Cyl Sedan Title Nomination Form

2009/2010 STATE 4 CYLINDER SEDAN TITLE

VENUE: Maryborough Speedway
DATE: 12th June 2010 - One Night Only
HOST CLUB: Maryborough Sporting Car Club

TOTAL NOMINATION/ADMIN FEE: $100 incl GST (NON REFUNDABLE) incl Transponder Hire
TOTAL NOMINATION/ADMIN FEE: $85 incl GST (NON REFUNDABLE) with your own Transponder
TOTAL LATE NOMINATION FEE: $230 incl GST (NON REFUNDABLE) incl Transponder Hire

NOMINATIONS CLOSE: Friday, 21st May, 2010

NOMINATION FORM TO BE RETURNED TO: Title Co-Ordinator, QSCA Inc,
11/3 First Ave, COOLUM BEACH  4573  Phone 0411 475 603 Fax 5471 6277

(Faxed entries must be followed up with the original and cheque by mail, and received within 7 days, or a late nomination fee will be levied).

Cheques/Money Orders to be made payable to: QSCA Inc or credit card details

FORMAT: Refer to full information sheet and nomination form for more details.

Click here to open the 2009/10 4cyl Nomination Form and Driver information in Adobe PDF Format - 21 KB - to print (or right mouse click and select "Save Target As" to save the document to your PC).



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