AMRS Production Cars Australia

Production Cars Australia

Sponsor
Sponsor Name*
Entrant
Entrant First Name
Entrant Last Name
Entrant Mobile No.
Entrant Email
Entrant Address
Street Address Address Line 2 City State Post Code
Entrant Emergency Contact Name
Entrant Emergency Contact Number
Entrant AASA or CAMS License No.
Entrant License Expiry
DD slash MM slash YYYY
Driver Details
First Name*
Last Name*
Mobile No.*
Email*
Address*
Street Address Address Line 2 City State Post Code
Emergency Contact Name*
Emergency Contact Number*
AASA or CAMS License No.*
License Expiry*
DD slash MM slash YYYY
Would you like to rent a carport?*
- Yes
- No
Garages not available
Additional Driver (if required)
2nd Driver First Name*
2nd Driver Last Name*
Licence Number*
Expiry Date*
DD slash MM slash YYYY
Racecar Details
Year of Racecar*
Make*
Model*
Colour*
1st & 2nd Preferred Race Number*
Capacity*
Dorian Number
Log Book Number*
Pit Crew*
Please provide your pit crew names
Payment / Terms & Conditions
"I/We have read and understood the Supplementary Regulations issued for this Meeting and agree to be bound by them and by the National Competition Rules of the Australian Auto-Sport Alliance Pty. Ltd. (AASA) I/We also acknowledge and agree that neither Australian Auto-Sport Alliance Pty. Ltd., nor Benalla Auto Club Pty. Ltd., nor the sponsor organisations, nor the land owners or lessees, nor the organisers of the race meeting/ event, nor their respective servants, officials, representatives or agents (all of whom shall collectively be called "the Organisers"), shall be under any liability for my death, or any bodily injury, loss or damage which may be sustained or incurred by me, as a result of participation in or being present at the event, except in regard to any rights I may have arising under the Trade Practices Act 1974. I/We acknowledge that motor sport is dangerous and accidents causing death, bodily injury, disability and property damage can, and do, happen. I/We accept the conditions of, and acknowledge the risks arising from, attending or participating in the event and being provided with the event services by AASA and the Associated Entities.
Acceptance of Terms & Conditions*
- I accept I/We have read the above terms and conditions.
Entry Fee Production Cars Australia*
Includes Friday practice.
Price:
Carport*
Price:
Online Booking Fee*
Price:
Production Cars Australia
$ 0.00
Credit Card*

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

AMRS Production Cars Australia

Production Cars Australia

Sponsor

Entrant

Driver Details

Additional Driver (if required)

Racecar Details

Payment / Terms & Conditions