Westcoast Classic Nominations
12th January 2024

Prize Money:

1st: $1,000 2nd: $600, 3rd: $400, 4th: $350, 5th: $300, 6th: $250, 7th: $200, 8th: $150, 9th: $100, 10th: $80, 11th: $70, 12th: $60, 13th: $50, 14th: $50, 15h: $50, 16th: $50

ENTRIES CLOSE 6th JANUARY 2024

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