2017 SA Historic Road Racing Championships

McNamara Park Road Racing Circuit
Sat 30th & Sun 31st DECEMBER 2017

An ENTRY is not finalised until all conditions and requirements as detailed in the SUPPLEMENTARY REGULATIONS and ENTRY FORM are met/completed. Please ensure you read this document.

2017 STATE TITLES SUPP REGS FINAL.pdf

After completing this online Entry Form the details will be scheduled for processing and emailed to you for your files.

Competition Secretary HMCRRSA

Danny Ahern – MOB 0407826951

Secure site

 

2017 SA HISTORIC ROAD RACING CHAMPIONSHIPS - ENTRY FORM

SA HISTORIC ROAD RACING CHAMPIONSHIPS
SAT 30th & SUN 31st DEC 2017
McNAMARA PARK ROAD RACING CIRCUIT, MOUNT GAMBIER S.A.
Entries close FRI 24TH NOVEMBER 2017
  • RIDER

  • A RECEIPT OF THIS FORM WILL EMAIL TO THIS ADDRESS. PLEASE ENSURE THE EMAIL IS CORRECT.
  • Entrant

    (this is the rider's MA licensed sponsor - not the rider's name)
  • PASSENGER

  • Rider's Signature will be required at Event Registration
  • Passenger's Signature will be required at Event Registration
  • Parent Guardian's Signature will be required at Event Registration
  • Machine Details

  • (This goes in the program so make your description clear)
  • (This goes in the program so make your description clear)
  • (This goes in the program so make your description clear)
  • (This goes in the program so make your description clear)
  • I ACKNOWLEDGE THAT THIS MEETING WILL BE HELD IN ACCORDANCE WITH THE CURRENT GENERAL COMPETITION RULES (GCRs), THESE SUPPLEMENTARY REGULATIONS (OF WHICH THIS ENTRY FORM FORMS PART OF) AND ANY FINAL INSTRUCTIONS. BY ENTERING THIS MEETING ALL PARTIES AGREE TO COMPLY WITH THESE RULES, REGULATIONS, BY-LAWS AND INSTRUCTIONS.
  • Entry Fees

  • Price: $ 240.00 Quantity:
  • Price: $ 35.00 Quantity:
  • Price: $ 20.00 Quantity:
  • Price: $ 70.00 Quantity:
  • Price: $ 130.00 Quantity:
  • $ 0.00
    An ENTRY is not finalised until all conditions and requirements as detailed in the SUPPLEMENTARY REGULATIONS and ENTRY FORM are met/completed. Please ensure you read this document.

    A RECEIPT OF YOUR ENTRY INCLUDING INCLUDING PAYMENT DETAILS WILL BE EMAILED TO YOU.
    Payment by PayPal, EFT, Cheque or Postal Order only.
    Any fees for dishonoured cheques will be the responsibility of the entrant.

    PayPal and EFT/Bank transfer payments are preferred
    EFT Details are: HISTORIC MOTORCYCLE RACING REGISTER OF SA
    Bank details BSB 805-050 A/C NO 100041411 please put your name down as reference. Bank details will be emailed to you or you can download a form. Please complete your EFT payment after completing your registration.
    Paypal payment can be made after completing this online form. Cheques and Money Orders are to be made payable to the Historic Motor Cycle Racing Register of SA.