Hillview Speedway -
Nomination Form
Meeting date
Ash Page Memorial W-end 6 & 7 Oct 2023
2024 SSWA Junior State Title
Ash Page Memorial W-end 6 & 7 Oct 2023
Driver's Name
Enter drivers name
Driver's Conact Email
Driver's Phone Number
Division
Production Sedan
Street Stock Sedan
Junior New Star Sedans
Junior Top Stars Sedans
Sprintcar (please specify)
ModLites
Limited Sprintcars
Formula 500
Junior Formula 500
Other Class(please specify)
Burnout
Production Sedan
Other Division - Specify
Car number
Speedway Australia Lic & Exp
Drivers home club
Additional infomation
Transponder number or hire needed ($30)?
Nomination - Senior $50, Junior $25 for the event (includes Driver gate entry).
Payment to Hillview Speedway BSB: 302-162. Account: 1098775 is required within 3 days of nomination to be valid.
Thank you.
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