Northern Regions Time Trial Registration Form
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Name and Surname *
Email *
Mobile Number *
Gender *
Make of vehicle (BMW, Porsche, VW, etc.) *
Model of vehicle (e.g. E36 M3, E83 X3, 911 Carrera S,, GTi, etc.) *
Year of manufacture of your vehicle *
Drivetrain *
Time Trial type (Race or Road) *
Aspiration *
Engine size in cc (e.g. 2996) *
Number of Cylinders (e.g. 4 or 6 or 8)  *
Brand and Type of Tyre you will use for the time trails *
Modifications to your car from OEM (be as comprehensive as you can (brakes, suspension, cooling, etc.)  *
Fastest lap around Zwartkops Raceway (if applicable) (e.g. 1 minute 20 seconds)  *
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