Livery Order Form - Ultimate Rally Group

Name*

Mobile number*

Email address*

Car Number (or 'TOUR')

Courier*

Pickup
Courier

I need a livery pack - FOR COMPETITORS ONLY, NOT TOUR OR VCC

Your livery pack can be picked up from the Targa NZ office at 563 Great South Road, Papakura, or we can courier it out to you at a fee of $20.00.

Address to send livery to*

Total Payment

Total payment required for Livery

$ 0.00

PRIVACY INFORMATION: This information is required by Club Targa Inc. in order to keep you informed of the Club’s activities and for the Club’s statistical purposes only. Your details will be stored as written on this form and on the Club’s computer. The information provided will only be available to the Secretary, President, Treasure and Committee Members. The information will not be disclosed to any other individual or organisation without your prior consent. Please ensure that you complete this form in it’s entirety as the accuracy of our Club records depends on you.

I give consent to my name, address, telephone number and other information forming part of my membership details to be held by Club Targa Inc. and to be used for the Club’s objectives. I acknowledge my right to access and correction of this information. This consent is given in accordance with the Privacy Act 1993.