Australian Production Cars

Entry Form

Races (more than one option can be chosen) - Secure payment form at bottom of page. *

Sydney Motorsport Park - Round 1 (27th - 29th May)
Phillip Island - Round 2 (25th – to 26th June)
Queensland Raceway - Round 3 (5th – 7th August)
The Bend Motorsport Park - Round 4 (21st – 23rd October)
Bathurst International - Round 5 (11th – 13th November)

Name *

Address *

Suburb *

Post Code *

Email Address *

Mobile Number *

CAMS Licence Number *

CAMS Licence Expiry *

Affiliated Club *

Affiliated Club Expiry *

Make *

Model *

Year *

Colour *

Capacity *

Preferred Race Number *

Sponsor *

Driver 1 Name *

Address *

Suburb *

Post Code *

Email Address *

Mobile Number *

CAMS Licence Number *

CAMS Licence Expiry *

Affiliated Club *

Affiliated Club Expiry *

Driver 2 Name

Address

Suburb

Post Code

Email Address

Mobile Number

CAMS Licence Number

CAMS Licence Expiry

Affiliated Club

Affiliated Club Expiry

Signature *

Total *

$ 0.00

Payment *

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