2018 Jim Pearson Transport VMX and VETS State of Origin – Port Macquarie – Sept 29 & 30 TotalA$0.00Online Entry Form - 2018 Jim Pearson Transport VMX and VETS State of Origin - Port Macquarie - Sept 29 & 30 - Complete one entryform for each rider1/ First Name * 2/ Last Name * 3/ Email *Please ensure your correct email address is supplied 4/ Mobile *We may use this to text you any news regarding this event 5/ D.O.B. *dd/mm/yyyy - To be used for Age Racing 6/ Membership Number *For Heaven members the 4 digit number on your membership card. New members and members of other clubs enter 9999 7/ Emergency Contact - First Name * 8/ Emergency Contact - Last Name * 9/ Emergency Contact - Mobile * Supplementary Regulations *I have fully read, understand and will comply with the VMX and VETS State of Origin Supplementary RegulationsRead & Understood Race Numbers for this eventVMX State of Origin Race Number Policy Please apply for your preferred race number and we'll do our best to facilitate. All number plates on all machines MUST comply with the GCR’s. Classic machines must have the correct class ‘letter’ in place. 10/ Preferred Race Number Prefered Race Numbers will be allocated where possible. Registered numbers will be given priority 11/ State Team *QueenslandNew South WalesVictoria 12/ Sponsor Saturday & Sunday - The VMX State of OriginWhich State is the fastest VMX state? At the 2017 VMX State of Origin QLD showed the other states just how good they are. We've heard all the excuses and all the banter, you've had a year to prepare. Now it is time to put up or shut up! NSW! Victoria! What have you got boys and girls? If you think you can knock off QLD, this is your time to shine. Are you up for it? Juniors - All In15/ Camden Haven Motorcycles Juniors - Ages 9-12 - All In Year / Make / Model Open to Modern 65cc machines or Vintage (1994 models and earlier) 80/85cc machines small wheel only. 16/ Kenross Kitchens Juniors - Ages 12-16 - All In Year / Make / Model 85cc 2st / 150cc 4st modern (current) or up to 125cc Classic/Post Classic (up to Pre95) machines. Kenross Kitchens Ladies - All In - Open to modern and classic machines19/ Kenross Kitchens Ladies - All In Year / Make / Model E.g. 84 Honda XR250RE Golden Plains Myotherapy Pre-75 - All In20/ Golden Plains Myotherapy Pre-75 - All In Year / Make / Model E.g. 74 Honda CR250M Camden Haven Marine - Pre78 – All In24/ Camden Haven Marine - Pre78 – All In Year / Make / Model E.g. 77 Suzuki RM125B TeeM8 EVO - All In28/ TeeM8 EVO - All In Year / Make / Model E.g. 79 Honda CR250RZ Camden Haven Motorcycles Pre-85 - All In32/ Camden Haven Motorcycles - Pre 85 - All In Year / Make / Model E.g. 84 Yamaha YZ250L Brand Concreting Pre-90 - All In36/ Brand Concreting Pre-90 - All In Year / Make / Model E.g. 89 Kawasaki KX500E1 Kenross Kitchens Pre-95 All In37/ Kenross Kitchens Pre-95 - All In Year / Make / Model E.g. 94 Kawasaki KX250K1 Camden Haven Marine Open Class - Open to Modern & Classic machines38/ Camden Haven Marine Open Class - All In Year / Make / Model E.g. 89 Honda CR250RK or 16 Honda CRF450 Veterans Open - Open to Modern & Classic machines39/ Veterans Open - All In Year / Make / Model E.g. 89 Honda CR500RK or 18 Honda CRF250 39/ Age Race Kenross Kitchens 35Yrs+Port Macquarie Motorcycles 45Yrs+Camden Haven Marine 55Yrs+ 125cc All Ins40/ Brand Concreting Pre75/78/EVO 125cc - All In Year / Make / Model E.g. 77 Suzuki RM125B 41/ TeeM8 Pre85/90/95 125cc - All In Year / Make / Model E.g. 84 Honda CR125RE 4 Stroke All InsGolden Plains Myotherapy Pre75/78/EVO 4 Stroke - All In Year / Make / Model Port Macquarie Motorcycles Pre 85/90/95 4 Stroke All In Year / Make / Model Seniors 80-85cc - any 80/85cc MX machine Pre95 or earlier42/ Senior 80cc Class - All In Year / Make / Model E.g. 89 Honda CR80RK Exhibition race only. Not scored for State of Origin points. Marshaling - Flag Marshaling will be provided by the event organisersNo Marshaling Required Marshaling has been arranged and is covered by your entry fee. Just relax, get in the zone and focus on scoring the most points for your state team. CanteenCanteen There will be a canteen & espresso coffee truck running both days for breakfast & lunch Comments - In this section, let us know any information you think we need to know in relation to your attendance at this race meeting43/ Add comments here Payment44/ MA Racing License requirements *One Event Licenses are available through the Ridernet website at $75. Riders choosing this option must show proof at the eventI have an MA One Event or Annual Racing LicenseI require a One Event License - $75.00 (Covers both days) Collect at sign on 45/ MA Annual or One Event Racing Lic No Riders must show this license at the event 46/ Expiry dd/mm/yyyy Entry Fee includes the following Entry fees are below. Your entry fee for this meeting includes the following: Entry of one rider on one bike - additional bikes can be entered for an extra fee as listed. An old school event racing bib in state colours yours to keep. The hire of Marshals for the event - No riders will be required to marshal. Transport and a meal at the Sunday night presentation dinner at the Wauchope Country Club. 47/ Pay with Credit Card / PayPal *To pay by card no need for a PayPal accountSenior Entry - Standard - $100.00Senior Entry - Aged Pensioner - $70.00Junior Entry - Standard - $50.00 48/ Additional Bike(s) *The Standard Entry Fee covers the entry of one bike per rider. If a rider chooses to ride additional bikes there is a $20 fee for each additional bike.No additional bikes - $0One additional bike - $20Two additional bikes - $40Three additional bikes - $60 49/ Transponder Hire or Service Fee *All entrants must hire at least one transponder, or their bike must be fitted with their own compatible transponder. Entrants with more than one bike entered can hire one transponder and move it from bike to bike as they race it.One Transponder Hire - $30Two Transponder Hire - $50Three Transponder Hire - $70Four Transponder Hire - $90Own Transponder Service Fee - $10 51/ MyLaps compatible Own Transponder no. If you have chosen the own transponder option, please supply your transponder number. 50/ Sunday evening Presentation Dinner at Wauchope Country Club *The rider entry fee includes transport and a meal at the presentation dinner to be held at the Wauchope Country Club Sunday evening. Additional tickets can be purchased at $30 per person.Not attending presentation dinner - $0No additional presentation tickets - $0One additional presentation ticket - $30Two additional presentation tickets - $60Three additional presentation tickets - $90Four additional presentation tickets - $120 Acknowledgement By submitting this entry form, I agree to be bound by the rules of the association and event regulations. VerificationSo we know you are a human, please enter any two digits *Example: Stephen Gall's race number back in the day: 23This box is for spam protection - please leave it blank
