Nomination Form

1. Fill out the relevant nomination form below
2. Sign the nomination form or have their authorised agent sign for them.
3. Check that the nominated horse(s) are eligible and listed on the nomination form in the correct category with the correct fee.
4. Complete the required details regarding nominator(s) GST registration status on the back of the nomination form.
5. Return the completed and signed form with their payment details to:

Racing Rewards SA

GPO BOX 2646

ADELAIDE SA 5001

or email to:

racingrewards@racingsa.com.au

As the completed Racing Rewards SA Nomination Form is a Tax Invoice, when completed please retain a copy for your records.