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MPSC Entry Form

MPSC Entry Formkhrnz742020-09-22T14:52:54+12:00

COMPETITOR ENTRY

Rider Name *

License Number *

Club *

Address *

Address Line 1

Address Line 2

City / Town

Post Code

Phone Mobile *

Email *

Swinger Name

Swinger Address

Address Line 1

Address Line 2

City / Town

Post Code

License Number

Club

Phone Mobile

Email

RACE CLASS

RACE CLASS *

Pre63 250cc
Pre63 350cc
Pre63 500cc
Pre63 Open Modified
Vintage (Pre 1946 )
Sidecars Modern/Pre89
Sidecars Pre63/72/82
Pre72 Lightweight
Pre72 Junior
Pre72 Senior
Pre82 Lightweight
Pre82 Junior
Pre82 Senior
Pre89 Formula 1
Pre89 Formula 2
Pre89 Formula 3
Pre95 Formula 1
Pre95 Formula 2
Pre95 Formula 3
Pre95 Superbike
Formula 4 / Buckets
CAMS Development
GP 2 stroke feature races
Superbike feature races

SECOND BIKE ENTRY *

Yes
No

RACE CLASS - 2ND ENTRY

Pre63 250cc
Pre63 350cc
Pre63 500cc
Pre63 Open Modified
Vintage (Pre 1946 )
Sidecars Modern/Pre89
Sidecars Pre63/72/82
Pre72 Lightweight
Pre72 Junior
Pre72 Senior
Pre82 Lightweight
Pre82 Junior
Pre82 Senior
Pre89 Formula 1
Pre89 Formula 2
Pre89 Formula 3
Pre95 Formula 1
Pre95 Formula 2
Pre95 Formula 3
Pre95 Superbike
Formula 4 / Buckets
CAMS Development
GP 2 stroke feature races
Superbike feature races

THIRD BIKE ENTRY *

Yes
No

RACE CLASS - 3RD ENTRY

Pre63 250cc
Pre63 350cc
Pre63 500cc
Pre63 Open Modified
Vintage (Pre 1946 )
Sidecars Modern/Pre89
Sidecars Pre63/72/82
Pre72 Lightweight
Pre72 Junior
Pre72 Senior
Pre82 Lightweight
Pre82 Junior
Pre82 Senior
Pre89 Formula 1
Pre89 Formula 2
Pre89 Formula 3
Pre95 Formula 1
Pre95 Formula 2
Pre95 Formula 3
Pre95 Superbike
Formula 4 / Buckets
CAMS Development
GP 2 stroke feature races
Superbike feature races

Rider Sponsors

Make *

Model *

CC *

Year *

Race # *

Race Group 1 - Vintage Pre46/Pre63 250cc/Pre63 350cc/Pre72 Lightweight | Race Group 2 – Pre82 Junior/Pre72 Senior | Race Group 3 – Pre63 500cc/Pre63 Open Modified/Pre72 Junior/Pre82 lightweight | Race Group 4 - Pre 82 Senior/Pre89 F2 | Race Group 5 – Sidecars Pre63, Pre72, Pre82, Pre89 , Modern | Race Group 6 – Pre 89 F1 | Race Group 7 - Pre 89 F3/Pre95 F3 | Race Group 8 – F4 Buckets/development class (Support Class) | Race Group 9 – Pre 95 F1/F2/Superbike | Saturday and Sunday Feature Race - Grand Prix 2 strokes | Saturday & Sunday Feature Race - Superbikes

2ND BIKE - DETAILS

2nd Bike - Make

2nd Bike - Model

2nd Bike - CC

2nd Bike - Year

3RD BIKE - DETAILS

3rd Bike - Make *

3rd Bike - Model *

3rd Bike - CC *

3rd Bike - Year *

T-SHIRTS & HOODIES - PRE ORDERS FOR MERCHANDISE NOW CLOSED

Purchases can still be made from www.ironandoil.co.nz or from their stall at the event.

TOTAL PAYMENT

RACE ENTRY *

ENTRY 3 DAYS - FIRST CLASS INCL TRANSPONDER (CAMS MEMBERS) - $ 200.00
ENTRY 3 DAYS - FIRST CLASS INCL TRANSPONDER (NON MEMBERS) - $ 250.00
ENTRY 3 DAYS – JUNIOR (UNDER 16) & RIDERS OVER 65 - $ 130.00
SECOND RACE CLASS TRANSPONDER FEE - $ 40.00
ENTRY 3 DAYS – INTERNATIONAL RIDERS - FREE - $ 0.00
ENTRY 3 DAYS – NORTH ISLAND BASED NZCMRR MEMBERS - $ 60.00
ENTRY 3 DAYS – ALL SIDECARS - FREE - $ 0.00
ONE EVENT LICENCE (COVERS ALL 3 DAYS) - $ 35.00

All information on CAMS membership can be found here

BBQ SATURDAY NIGHT $25.00 PER HEAD *

NO THANKS - $ 0.00
ONE PERSON - $ 25.00
TWO PEOPLE - $ 50.00
THREE PEOPLE - $ 75.00
FOUR PEOPLE - $ 100.00
FIVE PEOPLE - $ 125.00
SIX PEOPLE - $ 150.00

TOTAL *

360.00

PAYMENT TYPE *

BANK TRANSFER
CHEQUE

DIRECT CREDIT: WESTPAC ACCT 03-1702-0084303-017 USE “MPSC” & SURNAME AS REFERENCE. CHEQUES: MAKE PAYABLE TO: CLASSIC ACTION M/C SPORT INC

BANK TRANSFER REFERENCE *

Please enter the SURNAME that will be used as a reference for your bank transfer

DISCLAIMER

REQUIRED *I confirm I have read the DISCLAIMER OF LIABILITY

RIDER NAME

Signature

Website

RACE ENTRY CONTACTS

President – Dave Reesby
027 232 2860 camspresident@gmail.com

Event Manager – Sue van den Heuvel
021 274 6657 suevdh@xtra.co.nz

Race Secretary – Roger O’Regan
secretary@cams-racing.org.nz

Treasurer – Layton Matheson
treasurer@cams-racing.org.nz

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