Eastern Creek International Raceway


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Booking Request

Use this form to request enrolment in:

Defensive Driver Training Course - STAGE 1
COST: $255

After FULL PAYMENT is received, your request will be processed and confirmation with further details will be forwarded to you. As course numbers are limited and conditions apply, acceptance of your request is not automatic. You must receive our confirmation before the booking is firm.

Available Dates: see the Coarse Dates field below.

Gift Certificates: available for this coarse - click here to order.

NB: ALL fields must be completed

Course Dates Licence

Your Name

Address

Suburb Postcode

Phone

Mobile

Email

Gift to

(optional name to appear on Gift Certificate if required)

Guest Lunch

(Lunch is supplied for you but $15 each extra for each guest you bring)

Vehicle

(make and model of your vehicle that you will be using)

Payment by Credit Card OR Direct Deposit OR Prepaid Gift Certificate

Gift Certificate

(Enter the number on your prepaid gift certificate if you have one)

Pay by Card If paying by Mastercard OR VISA Card complete below.
If Direct Deposit preferred, follow details further below.

Card Holder

Card Number Expiry

NOTE: All Credit Card Transactions will incur a 3.0% Surcharge,
all prices displayed are in Australian Dollars (AUD) and include GST,
we do not accept AMEX or Diners.

Pay by Direct Deposit
Be sure to include a reference in the form stipulated here so that we can identify your payment.

Reference (your surname)-DT1

Bank Commonwealth

Account Australian Racing Drivers Club

BSB 062-004

Account# 10086042