Super Sedan Title Nomination Form 2016/2017

2016/2017 STATE SUPER SEDAN TITLE

VENUE: Hi Tec Oils – Toowoomba Speedway

DATE:  14th January 2017- one night only

TOTAL NOMINATION/ADMIN FEE: $70 incl GST (Non-Refundable) with or without your own Transponder – FREE transponder for those who require a transponder to be supplied

LATE NOMINATION FEE: $200 incl GST (Non-Refundable)

NOMINATION CLOSE: Friday, 9th December 2017 (early closure due to Christmas/New Year)

NOMINATION FORM TO BE RETURNED TO: Kaye Arthur, Title Manager, SSQ (QSCA Inc), P.O. Box 513, HERVEY BAY  Q   4655       Mob:  0408 766 651

Email:  secretary@qsca.com.au

(/Emailed/Faxed entries with Credit/Debit card or EFT payment are accepted. Emailed/Faxed entries with other payment method MUST be followed up with the original and cheque by mail, and received within 7 days, or a late nomination fee will be levied – no exceptions).

Payment of Nomination fee by Cheques/Money Orders to be made payable to: QSCA Inc or Credit/Debit card details or EFT confirmation.

Format: One Night race meeting x 3 Rounds Heats per driver

Click here to open the 2016/2017 Super Sedan Title 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).