Dedicated to the preservation and use of pre 1976 british, european and american motorcycles
NZ CLASSIC MOTORCYCLE RACING REGISTER INC
PRESENT THE

Programme of events

ENTRY FORM

-
ENTRIES CLOSE
MNZ Permit:
Rider's details
 
Motorcycle details
#1:
#2:
#3:

DISCLAIMER OF LIABILITY - ()

Rider disclaimer of liability
I further certify that all information given on this form is correct.

Where a rider is under 16 years of age, a parent or legal guardian must countersign this entry and be present on race day.

Sidecar passenger disclaimer of liability

Where a passenger is under 16 years of age, a parent or legal guardian must countersign this entry and be present on race day.

PAYMENT

Cheque in favour of NZCMRR herewith / please debit my credit card as below

$
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Postal or Email Entries

Complete the entry form and then either:

Scan and email to race@nzcmrr.com or send by post to:
Race Secretary
N.Z.C.M.R.R.
PO Box 11 301
Ellerslie
Auckland 1542
New Zealand

NZ CLASSIC MOTORCYCLE RACING REGISTER INC

Rider Name: ..............................................................
Race Number: ..............................................................
MNZ Licence Number: ..............................................................
MNZ Affiliated club: ..............................................................