Mitre10 MEGA Summer Series R1 – Saturday 2 and Sunday 3 December

$180.00 – $240.00

Competitor First Name *

Enter FIRST name of the driver
E.g. Scott

Competitor Last Name *

Enter LAST name of the driver
E.g. Dixon

Age Group *

Enter your age group

Date Of Birth *

Enter your date of birth
(use format dd/mm/yyyy)

Car Club *

Enter the name of the Car Club you are a member of

Car Club Member No. *

Enter your Car Club membership number

Car Club Expiry Date *

Enter your membership expiry date
(use format dd/mm/yyyy)

MSNZ Licence No. *

Enter your Motorsport NZ licence number

MSNZ Licence Expiry Date *

Enter your licence expiry date
(as written on your card)

MSNZ Licence Grade *

Vehicle Number *

Enter your preferred competition number

Vehicle Make *

Enter your vehicle make
E.g. Ford

Vehicle Model *

Enter your vehicle model type
E.g. Escort

Vehicle Colour *

Enter your vehicle primary (main) colour

Vehicle Engine CC Rating *

Enter your vehicle engine cubic capacity

Vehicle Induction *

Enter your vehicle induction type

Vehicle Log Book No. *

Enter your vehicle log book number.
For road cars (RS Cup) enter number plate.

Audit Requirement *

For this event, is your vehicle due to scrutineer?
-Log book cars, every third event OR if six months since last event
-WOF/REG road cars, EVERY event

Transponder Required *

Transponder Number *

Enter your transponder number. If hiring ours type HIRE.

First Time Driver *

Have you only competed in three or fewer race events?

New Competitor To Manfeild *

Are you new to Manfeild and have not driven on the track before?

Non-MSNZ Competition Licence *

Are you a foreign participant using a non-MSNZ competition licence?

Emergency Contact Name *

Enter the name of your contact should there be an emergency

Emergency Contact Relationship *

What is their relationship to you?

Emergency Contact Phone *

What is their contact phone number?

Drivers Licence Disqualified *

Currently is your NZ civil drivers licence disqualified?

Supplementary Regs *

I understand and agree to abide by the event supplementary regulations (found on the event page)

Indemnity & Consent *

I agree to the MSNZ indemnity and to abide by the terms and conditions as set out for this event, available from the event page of our website

SKU: SS-R1-1 Category:

Description

Purchase an entry to this event as described.
Discount for MCC members.

Note!  Transponder use is mandatory.  You can hire a transponder from the club or if you have your own, make sure you choose the ‘Have My Own’ transponder option for a $20 discount to the total entry cost.

Additional information

Class - Summer

Central Muscle Cars, North Island Formula Ford, Pre 65, Super Mini Challenge, RS Cup, SF Cup, IB Cup, GT Cup A, GT Cup B
MCC Member

Member, Non-Member