PAYNTER DIXON NSW HISTORIC TOURING CARS – Australian Motor Racing Series

NSW Historic Touring Cars

Competitor
Competitor name (if different from driver)
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
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
Friday Practice
Friday practice is included in your entry fee should you wish to participate.
Would you like to participate in Friday practice?*
- Yes
- No
Garage Hire
Would you like to hire a garage?*
- Yes
- No
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 NSW Historic Touring Cars*
Price:
Garage Hire - Practice - NSW Historic Touring Cars*
Price:
Garage Hire - No Practice - NSW Historic Touring Cars*
Price:
Online Booking Fee*
Price:
NSW Historic Touring Cars
$ 0.00
Credit Card*

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

NSW Historic Touring Cars

Competitor

Driver Details

Racecar Details

Friday Practice

Garage Hire

Payment / Terms & Conditions