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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
*
Family / Surname / Last Name
*
Classification (as per your log book)
*
Address
*
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
*
Yes, keep me updated on events at NAPA Auto Parts Dragway, Meremere
*
Driver / Rider Name
*
Social Media / Facebook page link
*
Email Address
*
Phone
*
Contact Phone Number
*
Next of Kin / Emergency Contact - Name & Contact Number
*
Have you raced at a NAPA Auto Parts Dragway Meremere competition meeting this season? Please select YES or NO.
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Yes
No
Publication / Organisation Name
*
Emergency Contact - please provide their full name and contact number
*
Publication / Organisation Address
Address
*
Publication / Organisation Social Media
*
Age & Occupation
*
Publication / Organisation Website
Vehicle Name & Sponsor
Photo / Image (passport style image of applicant)
*
Vehicle Year, Make & Model
*
Motor Capacity / Make
PB - please tell us what your best E.T. / personal best time is
*
Trans & Make
Diff Make & Ratio
Pit Space Number (please advise if you need one)
*
Extra Sponsors, your accomplishments and all that fun info that the Announcers can chat about.
*
Crew Details - please provide full names of all crew members
*
Picture of your Car / Bike
Click to subscribe and receive our emails on upcoming meetings and events at NAPA Auto Parts Dragway.
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Yes, please email me upcoming events and meeting information.
No
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