2010/2011 State Junior Street Sedan Title Nomination Form
2010/2011 JUNIOR STREET SEDAN TITLE
VENUE:
Mothar Mountain Speedway
DATE: 7th May, 2011
HOST CLUB: Gympie Saloon Car Club Ltd
TOTAL NOMINATION/ADMIN
FEE: $70 incl GST (NON REFUNDABLE)
incl Transponder Hire
TOTAL NOMINATION/ADMIN FEE: $55 incl
GST (NON REFUNDABLE) with your own Transponder
TOTAL LATE NOMINATION FEE: $230 incl
GST (NON REFUNDABLE) incl Transponder Hire
NOMINATIONS CLOSE: Thursday, 28th April, 2011
NOMINATION FORM TO BE RETURNED
TO: Assistant Title Co-Ordinator, QSCA Inc,
P.O. Box 298, GYMPIE 4570 Mob: 0417 137 740 Fax: 5482 4550
(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
FORMAT: Refer to full information sheet and nomination form for more details.
