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Landspeed Nov 30
After you fill out this form, we will contact you to confirm both entry and payment. Please remember to fill in ALL boxes.
* Indicates required question
Email
*
Your email
Are you new to Landspeed?
*
This is my first time competing in Landspeed
I have attended Landspeed as a competetor before
What is your name?
*
Your answer
What is your Year of Birth?
*
Your answer
Is your Drivers License Valid? Please give us the expiry date.
*
Your answer
What is your postal Address?
*
Your answer
What is the best number to contact you on?
*
Your answer
EMERGENCY CONTACT DETAILS
*
Please include their name, and emergency contact number
Your answer
VEHICLE DETAILS
*
Please provide: Make, Model, Year, Capacity (cc) and whether it's a car/bike/truck etc
Your answer
Preferred contact method
*
Phone
Email
Required
Have you read and accepted the Registration and Indemnity Form?
*
Please open
LINK HERE
in a new tab and make sure you have read and agree to the rules.
Yes I have
No I haven't
Send me a copy of my responses.
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