2011/2012 SSA Junior Sedan Title Nomination Form
VENUE: Kingaroy
Showgrounds
DATE: 3rd March, 2012
HOST: South Burnett Speedway Club Inc
TOTAL NOMINATION FEE: $40
incl GST (non-refundable) with or without your own transponder
- FREE transponder for those require a transponder to be supplied
TOTAL LATE NOMINATION FEE: $200
incl GST (non-refundable)
NOMINATIONS CLOSE: Friday, 3rd February, 2012
NOMINATION FORM TO BE RETURNED TO: Title Co-Ordinator, QSCA Inc, P.O. Box 298, GYMPIE 4570 Phone: 0417 137 740 Fax: 5482 4550
(Faxed entries must be followed up with the original and cheque by mail, immediately, if not received within 7 days of close of nominations you will not be included in the draw!!)
Cheques/Money Orders to be made payable to: QSCA Inc or Credit/Debit Card Details
FORMAT: Refer to full information sheet and nomination form for more details.
