Scardifields Smash repairs Northern Territory 410 Sprintcar Title

Make sure you get yourself trackside for the Scardifields Smash repairs Northern Territory 410 Sprintcar Title. $15,000 in cash is being handed out along with a crown as the NT Champion.

Nominations - Scardifields Smash Repairs Northern Territory 410 Sprintcar Title

Unique ID

Competitor Name(Required)

First Last

Email(Required)

Mobile(Required)

Registered State(Required)

Registered Number (NUMBER ONLY)(Required)

Length of Transporter (With Tailgate Down)(Required)

It is essential this information is correct as it forms the pit paddock layout. Northline Speedway takes no responsibility for final placements of the pits should you have provided false information.

Transponder Number(Required)

Prize Money Payment: BSB ONLY(Required)

Prize money will be paid out within 14 days post the race meeting to the nominated bank by the competitor. Northline Speedway holds no liability for payments made where incorrect bank details were provided or a change in banking was not noted.

Prize Money Payment: ACCOUNT # ONLY(Required)

Prize money will be paid out within 14 days post the race meeting to the nominated bank by the competitor. Northline Speedway holds no liability for payments made where incorrect bank details were provided or a change in banking was not noted.

Next of Kin (Name and Mobile #)(Required)

Sprintcar Nomination (Required)

Price: $ 200.00

Series Transponder Hire

Price: $ 100.00

Total

Credit Card

Card Details

Cardholder Name