Driver Nominations – Kalgoorlie International Speedway

Nominations

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Name

First

Last

Email

Pit Crew 1

First

Last

Pit Crew 2

First

Last

Visiting From:

Track / Town / City

Racing Division

Other Division (If Required)

Do transponder Crew

Manufacture / Body / Chassis

Type of Car EG FG Falcon, Rocket etc

Roof Number

Sponsors

Do you have a transponder

Transponders are compulsary at KIS. There is a fee of $35 for the hiring of transponders

Racing Date