SA Supra Historic Registration
Please complete the form below so that we can process your historic registration application. This will need to be completed for each vehicle you intend to put on the scheme.
After you have completed this form you will by contacted by the person assigned to your application. Any initial questions please contact the Club's Facebook page or via email: historic@sasupra.com.au

After your application has been received you will receive a confirmation email.
Once you have completed the required forms please attend an event or meeting and complete an MR334 form with a club historic registration representative. Bring the required documentation described in the online form, the club representative will provide the MR334 form its self.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Mobile Number *
Postal Address *
Club Membership Number
*You must be a current paid club member to apply for historic registration. If you don't know your membership number this can be left blank.
Vehicle Make *
Vehicle Model *
Vehicle Year *
Vehicle Registration Number (If it has one)
Additional vehicle details required on the day
I will have available the following additional details on the day:
- Registration Plate Number (if it has one)
- Engine Number
- Chassis Number
- Photos of the vehicle as per below
Registration Requirements *
I will have photos and the above listed details of the car available for review on the historic registration day. (These can be in digital form)
Required
MR334 Form/Logbook Collection *
How would you like to collect your MR334 form and logbook? Note that logbooks can only be issued after the vehicle has been registered with Service SA on the Historic Registration Scheme. Please ensure you bring proof of registration showing the vehicle is registered under the conditional scheme.
Disclaimer *
It is your responsibility to ensure that to the best of your knowledge, the vehicle is eligible to be legally driven on Australian Roads under the Road Traffic Act 1961. The SA Supra Club is not responsible for ensuring the legality of the vehicle or any modifications made to it. By clicking "I Understand" below you are acknowledging the above.
Required
Payment Details
Please confirm you have paid the applicable fee's of:

Historic Registration Application/Logbook Fee (including first year): $30

To the SA Supra bank account.
Payment Details:
Bank SA
BSB: 105 081
Account: 069679140
Account Name: South Australian Supra Club
Payment Reference: YourName HistoricReg

Alternatively Payment can be made via our online store:
https://store.sasupra.com.au/product/historic-registration

If we are unable to process your request we will contact you and a refund will be offered to your nominated account.

Note: For subsequent years a $20 yearly admin fee applies payable yearly for historic registration which can also be paid at the store or to the club account directly.
Payment *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of SOUTH AUSTRALIAN SUPRA CLUB INCORPORATED. Report Abuse
Google Forms