Entry for the NZSS R1,
Sun 15th Feb
(4 days from now)

Instructions

Still waiting to confirm costs

Your Details

Name

Birth date

Phone Number

Address

Your Entry

Bike Number

Manufacturer

Model

Race

Class

I confirm the information I have supplied above is correct.

I have read and accepted the Disclaimer of Liability for this event.

After submitting this form you will receive an email with banking details and a booking number.

Please deposit into: 03-0726-0603150-003. (J W Rushworth)

DON'T FORGET: Use the booking number in your deposit details, preferably in the REFERENCE field

Once your payment is confirmed (could be up to a day later) you will receive another email confirming your and your bike number.