NSW Round 2 Championship Tamworth

2020 SENIOR & JUNIOR DIRT TRACK & TRACK CHAMPIONSHIPS Round 2

Tamworth MCC

Saturday 15th & Sunday 16th August 2020

OAKBURN PARK

Crn Bowlers Land and Oxley Hwy. West Dale

Please read Sup Regs click here before filling out this form.

Entry Fees.

Seniors $110.00 extra classes $20 each.

Juniors $80 extra classes $20

Demo Class $35

Sidecars $110.00

ENTRY FEES INCLUDE TRANSPONDER HIRE.

Entries close 3rd August 2020

Bank Details.

Once you have filled in entry form please pay by direct deposit your fee to clubs account details below, remember to put you name and # as a reference.

Account Name:

Tamworth Motorcycle Club

BSB: 032 621 Account No: 209217

2020 NSW DT and T Championship Rd 2

ENTRY FORM if you are entering more then 3 class you need to fill in a 2nd form

First Name

Name*

MA Licence No

Licence Expiry Date

Address

City and Postcode

Birthday

Club

Mobile

Riding No

Email Address*

Next of Kin

Next of kin contact no

Sidecar Passenger. Full Name

Passengers Address

Passengers Contact Number:

S/C Passengers MA Licence number / Expiry Date:

Passengers Birthday:

Passengers Next of Kin: Name and Contact Number

1st Class to enter

Bike Details make and cc

2nd Class

Bike Details Make and CC

3rd Class to enter

Bike Details Make and CC

Your Transponder Number if you are using your own.

Payment details for TMCC

Entry Fees:

My entry fee is $

Sponsors Details

Confirm you have read the Sup Regs *

After you have hit the send button, the next page will advise that your entry has been sent to me. YOU MAY HAVE TO MOVE THE PAGE DOWN A BIT TO SEE THIS.

Sidecar Passenger First Name

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Thank you entry has been sent to Lyndel

race secretary

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