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Classic Motor Racing Club
of New Zealand
Patron: Howden Ganley
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Home
Reports
Origins
Updates
Articles
Saloons
Gallery
Photos
Videos
Calendar
Contact
Apply to join
Event Entry Form
SOUTH CANTERBURY HYDRAULICS SOUTHERN CLASSIC
Class entry:
Event entry plus 2 passes & 1 function ticket - $380
*
OSCA
MINI
Classic Saloon car
Continental Rennsport
Sports & Gts
Historic Muscle and Saloon Cars
Formula Libre & Historic FF
VCC & Historic’s
Mobil1 Mainland Muscle Cars
Select which category your car is eligible for.
Extra entry details:
Dual Class entry
Transponder Hire
Late Entry Fee
Which second category do you wish to enter?
OSCA
MINI
Classic Saloon car
Continental Rennsport
Sports & Gts
Historic Muscle and Saloon Cars
Formula Libre & Historic FF
VCC & Historic’s
Mobil1 Mainland Muscle Cars
Extra Crew Passes
Price:
$ 20.00
Quantity:
Hats
Price:
$ 20.00
Quantity:
Extra dinner ticket
Price:
$ 70.00
Quantity:
Extra dinner tickets will be limited so be in quick
Entry Total
$ 0.00
Driver details:
Emergency contact details
First Name
*
Emergency contact name
*
First
Last Name
*
Phone number
*
Your Email Address
*
Relationship
*
Date of Birth
*
Date Format: DD slash MM slash YYYY
Entrant details:
(to be completed in all cases if Entrant is other than the driver. Licence must be purchased from MotorSport NZ Inc prior to the event in question and presented at documentation)
Car Club name
*
Financial Member of the following MotorSport NZ Member Club?
Entrants Name
*
Car Club expiry
*
Attach a scan of your licence (max. 1MB file size)
Your residential address
*
Postal Address
Postal Address
Leave empty if same as residential address.
Email Address
Telephone Number
*
Telephone Number
*
Competition License Number
*
Entrants Licence Number
License Expiry
*
Entrants Expiry Date
Licence Grade
*
INT C Grade
C2 Grade
C1 Grade
Currently is your NZ civil drivers licence disqualified?
*
Yes
No
You must sign a declaration at Documentation as per NSC 43(2)(b)
Age group
61 plus
36 - 60
26-35
19-25
Under 19
Are you:
*
First Time Driver (3 or fewer events)
First Time Competitor at Venue
Foreign Participant on Non-MSNZ Licence
You can select more than one option.
Vehicle details:
Make
*
Transponder Number
Model
*
Engine CC
Colour
Certificate of Description
Schedule K or T&C
Year of manufacture
* Actual year of completion of manufacture for this particular vehicle.
Logbook
*
Attach a scan of your logbook (max. 1MB file size).
If possible, not required.
Car number
For Historic or Classic Vehicles - please select the following
Schedule K
Schedule T & C
Schedule CR
Schedule K Period Classification
Confirm the applicable period classification from the Schedule.
Schedule T & C Group
Confirm the applicable period classification from the Schedule.
Schedule CR period grouping
Confirm the applicable period classification from the Schedule.
Are you GST registered?
Yes
No
GST Registration No.
Name of Person / Company / Team Registered:
Car history... (if applicable)
*
I have read, and agree to
abide by the Supplementary Regulations for this event.
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