2023-2024 RSA Car Registration Form

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Racing Sedans Australia Inc

Email *

Applicants Name *

Street Address, Town, State & Post Code. *

Postal Address (if different form Street Address)

Phone Number *

Applicants Date of Birth *

Example - 01 Feb 1980

YYYY

Junior Competitor Full Name

Junior Competitor Date of Birth

YYYY

Divisions/Class *

Street Stockers

4 Cylinder Sedans

Super Production

Outlaw Sedans

Junior Sedans

Fender Bender- Soft Nose

Fender Bender - Hard Nose

Vehicle Make *

Vehicle Year *

Vehicle Model *

Car No & Prefix *

Financial members of affiliated club. *

Applicants Speedway Australia Licence Number *

Applicants Speedway Australia Licence Expiry Date *

YYYY

Junior driver Speedway Australia Licence Number

Junior Driver Speedway Australia Licence Expiry Date

YYYY

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