Daniel Willson’s Pace Note Works
Pace Note & Recce Plan Order Form
Event: Great Tarmac Rally 2013 / Cost: 2012 user $250 / New user $295Recce Plan: Included in the price
Total: / $
The driver and co-driver have previously competed together in 2013 and have already completed and signed a Rally Notes Conditions of Use Agreement in 2013 for the use of Course Notes in 2013.
The driver and co-driver have not previously completed a Conditions of Use Agreement and;
Agreement is forthcoming (can be downloaded from
- The Conditions of Use Agreement is a separate document. Please complete and send your agreement as soon as possible because otherwise it will only delay delivery.
- This order form can be faxed, emailed or posted. Pace Notes will be sent by express post to your nominated address once we have received this order, payment and a fully completed “Conditions of Use Agreement”, signed by the driver, co-driver/navigator and entrant, and fully witnessed.
- Please pay in full by cash, cheque, direct deposit, money order, or credit card. A 2% surcharge applies for credit cards.
Driver’s Name, email & Phone:
______
Co-driver’s name, email & phone:______
______
We would like: 1-6 or 1-10 format pace notes. We would like a recce plan: Yes or No.
We would like ‘TheOriginal Rally Notes Pace Notes (Yes) or we would like ‘The Rally Notes Level 2 Pace Notes’ (Yes) *Please enquire before ordering the level 2 pace notes!
Name & address for pace notes to be posted to:
______Recce Dates:______
Mastercard Visa Cheque/Money Order/Direct DepositCardholder Name:
Credit Card Number:
Credit Card Expiry Date: /
Total Amount Payable: $
Signature of Cardholder Authorising Processing of Payment:
Rally Notes Daniel: 04086249598
39 Pitcairn St. Glenorchy E:
Tasmania 7010
Fax: 0362 725755
ABN: 83 766 573 873