K-Rock Cup Nominations
6th January 2024

Prize Money:

1st: $3,000 2nd: $2,000, 3rd: $1,000, 4th: $800, 5th: $700, 6th: $600, 7th: $550, 8th: $500, 9th: $450, 10th: $400, 11th: $350, 12th: $325, 13th: $300, 14th: $275, 15th: $250, 16th: $200, $17th: $100,  $18th $100

ENTRIES CLOSE 24th DECEMBER 2023

Car Owner or Team Name *

Drivers Name *

Address *

Suburb *

State *

Phone *

Mobile

Email *

Club

Race Car No *

License No *

Transponder No

Tranponder Hire

• I need to hire a transponder (AU$30 cash only at the track)
• I need to purcahse a transponder bracket (AU$10)

Chasis No

Engine

Transporter Driver

Sponsors

Sponsor2

Sponsor3

Sponsor4

Sponsor5

Sponsor6

Prize money to be paid to *

ABN

Account Name *

Bank *

BSB *

Account No *

Submit