Online Nominations - Albany Attwell Park Speedway

NOTE:
All Super Sedan Competitors nominating for the Bill Gibbings Memorial, 20th April 2019, to review & complete the following two documents. Further instructions enclosed, on how to return the completed document.
1.Easter Nomination Form 2. Easter Speedway Contract

* Denotes a mandatory field.
Drivers First Name*:

Drivers Last Name*:

Your Email Address*:

Contact Number*:

Postal Address*:

Race Meeting*:

Racing Division*:

Racing Division if "Other":

Car Number*:

Home Club/Track*:

Do You Own A Transponder*:
YesNo

Your Transponder Number*:

Car Model/Make*:

Sponsors:

Pit Crew Members:

By clicking "Submit", You agree that your nomination will be sent to the Albany Speedway Club Registrar & any information provided may be used in the speedway programme or other marketing material.

Please verify all details prior to submission, in particular your transponder number. An incorrect transponder number may result in incorrectly allocated points within the scoring system and no responsibility will be taken by the Albany Speedway Club.

As a confirmation of submission, a copy of your nomination will be sent to the email address entered above.