Queensland Saloon Car Association Inc.

2009/2010 SSA Junior Sedan Title Nomination Form

2009/2010 STATE SSA JUNIOR SEDAN TITLE

VENUE: Maryborough Speedway  
DATE: 19th December, 2009
HOST:  Maryborough Sporting Car Club Ltd

TOTAL NOMINATION 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: Friday, 20th November, 2009 

NOMINATION FORM TO BE RETURNED TO: Title Co-Ordinator, QSCA Inc, 4/5 Service Street,  MAROOCHYDORE  Q.  4558   Phone:  0408 060 078   Fax:  5443 7093

NB – One Way Communicator Radio/Receivers will be used in all state titles – each competitor must provide their own receiver.

(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

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

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



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