Nomination Form
Drivers Name: A value is required.
Division: Please select one... AMCA's Juniors Late Models Modifieds Production Sedans Sprint Cars Street Stocks Super Modifieds Super Sedans Wingless Sprinter Other... Please select an item. if 'Other':
Car Number: A value is required.
Race Date: Please select one... Saturday, 19/11/2011 - Late Model State Title Saturday, 26/11/2011 - Junior Country Round Saturday, 10/12/2011 - Club Meeting Saturday, 28/01/2012 - Formula 500's Wednesday, 01/02/2012 - World Series Sprintcars Saturday, 18/02/2012 - Super Modifieds & AMCA's Saturday, 03/03/2012 - Super Sedan State Title Sunday, 04/03/2012 - Super Sedan State Title Wednesday, 07/03/2012 - National Super Sedan Series Saturday, 31/03/2012 - Club Meeting Saturday, 14/04/2012 - Open Club Championships and Demo Derby Please select an item.
Will you attend practice on the Thursday before the race? Yes No Please make a selection.
Your E-Mail Address: A value is required.Invalid format.
(this is where your confirmation will be sent to)
Nominations will be accepted by Registrar, up to 5pm the Tuesday prior to practice and/or race meeting dates.
NO nomination means no entry in programme Scrutineering between 3.00pm to 5.45pm