Fine Notice
Form: J-101 / Document Number / 00
1. COMPETITOR / DRIVER AND CAMS LICENCE DETAILS
2. EVENT AND FINE DETAILS
Meeting:
Event Name: / Event Permit:
Location: / Date of Issue: / 3-Oct-18
Details of Rule Breach:
Fine :
3. PAYMENTS DETAILS
Conditions of Payment:
  • Fines must be paid to the Stewards or received by the CAMS State Office within 48 hours of the commencement of the first business day after the conclusion of the event. Any delay in making payment shall entail suspension for the period during which the fine remains unpaid (NCR 189)
  • GST is not payable on fines issued by CAMS as determined by the Australian Taxation Office (ATO).

Payment Type: / Cash / Total Payment: / $
Cheque
Credit Card (please complete details / Please tick: / Visa / MasterCard
Card Number: 3 Digit CVV Expiry Date
/
Cardholder Name: / Cardholder Signature:
OFICE USE ONLY
Payment Received by: / Date of Payment:
Payment Entered by: / Entered Date:

Confederation of Australian Motor Sport Ltd

A.B.N. 55 069 045 665

Victoria / New South Wales / Queensland / South Australia / Western Australia / Tasmania
National Office / Level 2 / “Sports House” / Unit 3 / Suite 7 / Sport & Recreation
851 Dandenong Rd / 8 Parkview Drive / Castlemaine & Caxton Sts / 43 King William St / 21 Wanneroo Rd / 1 Self’s Point Road
Malvern East VIC 3145 / Olympic Park NSW 2127 / Milton QLD 4064 / Kent Town SA 5067 / Joondanna WA 6060 / Cornelian Bay
PO Box 147 / PO Box 6126 / PO Box 1859 / Tel: (08) 8132 1633 / PO Box 265 / Tasmania 7008
Caulfield East VIC 3145 / Silverwater BC NSW 1811 / Milton BC QLD 4064 / Osborne Park WA 6917 / Tel: (03) 62275601
Tel: (03) 9593 7777 / Tel: (02) 8376 1218 / Tel: (07) 3368 2911 / Tel: (08) 9208 8500
Fax: (03) 9593 7700