2018 EVENT BOOKING REQUEST FORM
Contact Name
Organisation Name
Organisation Type
Incorporated Club
Unincorporated Club
Company
Individual
Partner
ABN (if applicable)
Venue
The Bend Motorsport Park
Mallala Motor Sport Park
Contact Details
Email
Contact Number
Postal Address
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Australia
Are the billing details the same as the contact details?
Yes
No
Billing Details
Contact Name
Organisation Name
Email
Contact Number
Postal Address
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Australia
Event Details
Event Name
Provide a name for your event.
Preferred Event Date/s
Please provide preferred and alternative event dates.
Sanctioning Body
Select sanctioning body/permit provider (if known).
CAMS
AASA
MA
Other:
Circuit Configuration - Mallala
Choose Configuration
Circuit (2.6km)
Skid Pan (120m x 50m)
Circuit Configuration - The Bend
Choose Configuration
International (5.0km)
West (3.4km)
East (3.9km)
GT (7.7km)
Stadium Circuit (Drifting)
Click here for track configurations.
Circuit Activity
Please provide us with a summary of your planned activity.
Type of Vehicles
Please provide any information relating to type of vehicles for this event.
No. of Vehicles
Please indicate anticipated total number of vehicles for this event.
No. of Public
Please indicate anticipated spectator numbers for this event.
Is This Event Ticketed?
Yes
No
Garages
Indicate whether you require garages.
Yes
No
No of Garages
Additional Services
Please indicate if you require any of the following services.
Event Timing (including operator)
Race Control Room (no CCTV)
Race Control with CCTV (including operator)
Radios
PA System
Medical Services
Fire & Rescue Services
Do you require hotel Accommodation?
Yes
No
Corporate Facility/Catering Summary
If a corporate facility or catering is required, please provide details.
Other Comments
If you have any further comments regarding your event, let us know here.
Submit Request