| Name:______________________________ |
Phone
(WK):________________________ |
| Address:____________________________ |
After
Hours:_________________________ |
| ___________________________________ |
Mobile:_____________________________ |
| ___________________________________ |
Email:______________________________ |
|
|
| Boat Name:_________________________ |
Make & Model:_____________________ |
| Driver:_____________________________ |
Co-Driver:__________________________ |
| Class:
S-750 / Bandit
(circle one) |
Day License
Required: Y / N |
| Powered by: Standard
/ Modified_________ |
HP:________________________________ |
|
|
|
Pre-paid
Entry Fee - $50.00 per boat
(entries
accepted on the day will incur an additional $15 late entry fee)
Day
License - $30.00
Payment
by CHEQUE (made out to TRA-NZ) |
