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Competition Race Number
*
Driver / Rider Name
*
Todays Date
*
Email Address
*
Division Entering
*
Competition (Top Comp, Pro Comp, Super Comp & Comp)
C8 Super Street
C9 Competition Bike
C10 Super Sedan
C11 Screamin' Eagles
C12 Junior Dragster
C13 Modified Bike
Classification (as per your log book)
*
Address
*
Phone
*
Age & Occupation
*
Vehicle Name / Sponsor
*
Vehicle Year, Make & Model
*
Motor Capacity / Make
*
Trans & Make
Diff Make & Ratio
Extra sponsors, details and accomplishments
Crew Details - please provide full names of all crew members
*
Division Entering
*
Competition (Top Comp, Pro Comp, Super Comp & Comp)
C8 Super Street
C9 Competition Bike
C10 Super Sedan
C11 Screamin' Eagles
C12 Junior Dragster
C13 Modified Bike
Wild Bunch 1 - 1/4 Mile Class
Wild Bunch 2 - 1/8th Mile Class
Outlaw 71
Top Doorslammer - National Series
Top Alcohol - National Series
Competition Race Number
*
Driver / Rider Name
*
Todays Date
*
Email Address
*
Division Entering
*
Classification (as per your log book)
*
Address
*
Phone
*
Age & Occupation
Vehicle Name / Sponsor
Vehicle Year, Make & Model
*
Motor Capacity / Make
*
Trans & Make
Diff Make & Ratio
Extra sponsors, details and accomplishments
Crew Details - please provide full names of all crew members
*
First Name
*
Competition Race Number
*
Full Name
*
Competition Race Number (if you don't have one, we will issue you one at the track when you arrive)
Family / Surname / Last Name
*
Classification (as per your log book)
*
Address
*
Classification (as per your log book)
Email Address
*
Race Division
*
Competition (Top Comp, Pro Comp, Super Comp & Comp)
C8 Super Street
C9 Competition Bike
C10 Super Sedan
C11 Screamin' Eagles
C12 Junior Dragsters
C13 Modified Bike
NZ WILDBUNCH
Email Address
*
Division Entering
*
Select...
Top Alcohol
C1 Top Doorslammer
Competition, Top Street & Sport Compact
C3 Modified
C4 Supercharged Outlaw
C8 Super Street
C9 Competition Bike
C10 Super Sedan
C11 Screamin' Eagles
C12 Junior Dragster
C13 Modified Bike
Yes, keep me updated on events at NAPA Auto Parts Dragway, Meremere
*
Driver / Rider Name
*
Social Media / Facebook page link
*
Please provide a picture of your car for promotional purposes
Email Address
*
Phone
*
First Name
*
Contact Phone Number
*
Next of Kin / Emergency Contact - Name & Contact Number
*
Surname / Family Name
*
Have you raced at a NAPA Auto Parts Dragway Meremere competition meeting this season? Please select YES or NO.
*
Yes
No
Publication / Organisation Name
*
Email Address
*
Emergency Contact - please provide their full name and contact number
*
Publication / Organisation Address
Address
*
Address
*
Publication / Organisation Social Media
*
Phone
*
Age & Occupation
*
Publication / Organisation Website
Did you race at Test and Tune 1 and 2 and/or Competition Meeting 1 and 2 on 9&10 November or 23&24 November
*
Select...
Yes
No
Vehicle Name & Sponsor
Photo / Image (passport style image of applicant)
*
Age & Occupation
Vehicle Year, Make & Model
*
Vehicle Year, Make & Model
*
Motor Capacity / Make
Vehicle Name & Sponsor
PB - please tell us what your best E.T. / personal best time is
*
Engine / Motor Capacity & Make
Trans & Make
Trans & Make
Diff Make & Ratio
Diff Make & Ratio
Pit Space Number (please advise if you need one)
*
Emergency Contact / Next of Kin - please provide their name, contact number and relationship to you
*
Extra Sponsors, your accomplishments and all that fun info that the Announcers can chat about.
*
Sponsors
Crew Details - please provide full names of all crew members
*
Achievements
Picture of your Car / Bike
Crew Members - please provide full names of all crew members (write NONE if you have no Crew)
*
Click to subscribe and receive our emails on upcoming meetings and events at NAPA Auto Parts Dragway.
*
Yes, please email me upcoming events and meeting information.
No
Pit Space Number (please advise if you need one)
*
Click to subscribe and receive our emails on upcoming meetings and events at NAPA Auto Parts Dragway.
*
Yes, please email me upcoming events and meeting information.
No
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