Skip to content
Creating High Performance Motorsport Events
About
Classifieds
Shop
Home
Events
Targa NZ
Silver Fern Rally
Registration
Silver Fern Rally Registration
Targa NZ Registration
FORMS
Livery, Trackit and Club Targa
Gallery
Shop
Contact
Cart /
$
0.00
0
No products in the cart.
0
Cart
No products in the cart.
Download PDF entry form
(Early Bird Entry Form)
draft Supplementary regulations
Step 1 of 9
11%
Driver 1
Last Name
*
First Name
*
Street
*
Town / City
*
Region / State
Country
*
Email address
*
Phone
*
Mobile phone
*
Sex
*
Male
Female
Age group
*
Under 19
19-25
26-35
36-60
60+
Emergency Contact Name
*
Emergency Contact Phone
*
Driver Details
Competition licence number
*
Licence Grade
*
Expiry date
*
Financial member of...
*
Club membership expiry
*
Drivers licence number
*
Drivers licence expiry
*
Driver 2 (co driver)
Last Name
*
First Name
*
Street
*
Town / City
*
Region / State
Country
*
Email address
*
Phone
*
Mobile phone
*
Sex
*
Male
Female
Age group
*
Under 19
19-25
26-35
36-60
60+
Emergency Contact Name
*
Emergency Contact Phone
*
Co Driver Details
Competition licence number
*
Licence Grade
*
Expiry date
*
Financial member of...
*
Club membership expiry
*
Drivers licence number
*
Drivers licence expiry
*
Team/Service Manager Details
Last Name
*
First Name
*
Email address
*
Phone
*
Address for Communications
(Identify person responsible for receiving Event Communications)
Contact Name
*
Postal Address for event Communications
*
Email Address
*
Fax
Vehicle Details
Vehicle Make
*
Vehicle Model
*
Year of Manufacture
*
Engine Capacity (cc's)
*
Event
Not sure
Historic Trophy
Challenge Rally
Class
*
A
B
C
D
E
F
G
H
Not sure
Terms and Conditions
I have read and understand the Terms and Conditions
*
I understand
I have read and understand the
Terms and Conditions HERE
Payment
2018 Silver Fern Rally Entry
Price:
$ 11,500.00
Total
$ 0.00
Payment method
*
Bank transfer
Credit card
If you would like to pay by credit card, we will call you for your credit card details.
I have made payment
*
I have made payment to the following account;
Bank Name
02-0404-0255632-00
$11,500.00 including GST
I would like more information on...
Shipping and car transportation
New Zealand customs requirements
Vehicle rental services
Accommodation
Home
Events
Targa NZ
Silver Fern Rally
Registration
Silver Fern Rally Registration
Targa NZ Registration
FORMS
Livery, Trackit and Club Targa
Gallery
Shop
Contact
About
Classifieds
Shop
