2020 MRA Series - Round 6 (Re-Run)

General

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Driver Details

Entrant Details

Vehicle Details

Disclaimer

ENTRANTS DISCLAIMER AND DECLARATION
I EntrantFirstName EntrantLastname of EntrantAddress, Entrantsuburb, NSW, 1111
License Number: EntrantLicence being the entrant/s of the vehicle described on this entry form wish to enter that vehicle for the above mentioned meeting. I/We declare that the particulars on this form are true and correct in every particular, to the best of my/our knowledge and belief. You are invited to seek legal advice before signing this document.

 

 

Payment Details

Entry Fee
$260.00
Race Receiver
$150.00
Amount Due
$410.00
Payment Type
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