Payment Type(Required) Refund Prize Money Reimbursement Your Role(Required) Competitor Official Staff Full Name(Required)Email Address(Required) Mobile(Required)Bank DetailsBank Account Name(Required)BSB(Required)Account Number(Required)Confirm Account Number(Required)Please enter the account number again to help avoid payment errors.Prize Money DetailsExpected Amount(Required)Prize Money Details(Required)Example: Sydney 300, Division B, Pole Position, Car 33 or 1st Place Officials prize moneyReimbursement DetailsUpload Receipt, Invoice or Supporting Documents(Required) Drop files here or Select files Accepted file types: pdf, jpg, jpeg, png, heic, Max. file size: 10 MB, Max. files: 10. Upload receipt, invoice or supporting documents.Refund DetailsRefund Category(Required)Entry Fee RefundGarage / Carport RefundPractice / Test Day RefundDuplicate PaymentEvent Cancelled / WithdrawnOtherEvent Name(Required)Entry NameDeclarationBank Details Confirmation(Required) I confirm the bank details provided are correct. Payment Delay Acknowledgement(Required) I understand that incorrect bank details may delay payment. Authority Confirmation(Required) I confirm I am authorised to provide these bank details. Use of Details(Required) I understand these details will only be used to process this payment.