ERC RACE SERIES DRIVER REGISTRATION 2011/2012

All in Capital letters please  (Please check availability of race number before submitting). 

One registration required for each driver.   There is a separate form for car details - please fill in one form per car.

Primary car race number      Name - First   Surname     

Please note, input is required in every yellow box on this form, otherwise you will get an error message when you submit it.

Postal Address line 1 (PO Box, house number, street)    Address 2  - (Area)     

Address 3 - Town/City         Postal Code   

All communications are normally via email.  Please note that we generally do not call back to mobile phones, so the home telephone should be a landline.     We do NOT send by snail mail.

   Preferred email address - please type carefully!  Please advise if it changes...   

   Home Phone - if out of Auckland, input STD code   

 Work phone number (not mobile)    Fax    Mobile   Boxes in blue are optional.

Note that as a general rule we do not return calls to mobile numbers.

MSNZ Race Licence number     Expiry Month   

Car Club     Please abbreviate to a maximum of 7 letters    Date of birth - in the correct format please!  dd/mm/yy  

 

Please note that this is an invitation series and submitting this form does not constitute an invitation to join the series and is merely an expression of interest.                              January 2012


If incorrectly filled in, you will get a warning message...  If all is OK, you MAY even get a thank you message when I fix a hiccup... If you don't, ignore the message that appears and do not press submit again!
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