Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Which Track are you Nominating for?
*
Grafton Speedway
Lismore Speedway
Name
*
First
Last
Phone
*
Email
*
Speedway Australia License Number
*
Expiry of Speedway Australia Licence
*
Sponsors Number Layout
Division Nominating for?
410 Sprintcars
360 LS Sprintcars
Wingless Sprints
SSA Production Sedans
SSA Street Stocks
SSA Juniors (New Stars)
SSA Juniors (Top Stars)
Car Number with Prefix
*
Transponder Number
*
If you don’t have one and need to hire one put 0
Sponsors
Make it look nice for the world to see, Capital Letters and use commas after each Business
Acknowledgment
*
By Checking this box you understand that competitive motor sporting events, such as the Event, are dangerous and involve a real risk of serious injury or even death from various causes including: motor vehicles (or parts of them) colliding with other motor vehicles, persons or property; acts of violence and other harmful acts (whether intentional or inadvertent) committed by persons attending or participating in the Event.
Submit
SELECT DIVISION :
Please Select
V8 Dirt Modifieds
AMCA Nationals
SSA Production Sedans
SSA Junior Sedans
RSA Sedans
Modlites
Wingless Sprints
Refresh