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SEAC AUTOCROSS SERIES 2020

ROUND 3

Sunday, 4 October 2020

Motorsport Australia Permit #: 520/0410/06

VEHICLE DETAILS

• Make & Model
• Class A - 2WD Production Cars up to 2000cc B - 2WD Production Cars 2001cc and over C - 2WD Modified Production Cars up to 1600cc D - 2WD Modified Production Cars 1601cc up to 2000cc E - 2WD Modified Production Cars 2001cc and over W - AWD or 4WD Production-Based Vehicles and Vehicles that do not comply with any of the above classes (eg. Buggies, hyper-sprints, extreme mods etc.)
• Log Book # (if applicable)
• Log Book Please email your documentation directly to aaronbowering@yahoo.com.au
  

DRIVER DETAILS

• First Name
• Surname
• Class Not Applicable L - Ladies Class (Any type of vehicle permitted) J - Juniors aged 14 and over at any event but less than under 18 years on the 1st January 2020 (Any type of vehicle permitted)
• Address
• Town/Suburb
• State - select - Australian Capital Territory New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia
• Post Code
• Email
• Mobile #

EMERGENCY CONTACT DETAILS

• First Name
• Surname
• Mobile #

LICENCE DETAILS

• Club Member Licence In case of any difficulties uploading your file, please email your documentation directly to aaronbowering@yahoo.com.au
  
• Club Name
• Club Membership Number
• Motorsport Australia Licence Number

TERMS & CONDITIONS

• Supplementary Regulations I have read, understood, acknowledge and agree to abide by the Supplementary Regulations at all times.
  I agree
  
• Risk Warning, Disclaimer and Indemnity I understand that I am required to print and complete the Risk Warning, Disclaimer and Indemnity Form in order to participate.
  I understand
  

25 Years at SEAC Park Celebration

• Will you be staying & attending the 25 Years at SEAC Park Celebration? Yes No
• Number of people attending
• SUBMIT ENTRY