Application for a Permanent Racing Number

APPLICATION FOR A PERMANENT RACING NUMBER

FOR 2014/15 MOTOR RACING SEASON

HQ HOLDEN/SUPER SIX

IN LODGING YOUR APPLICATION FOR A PERMANENT NUMBER YOUR DETAILS ARE

ENTERED INTO A DATABASE WHICH IS CIRCULATED TO CIRCUIT ORGANISING CLUBS.

 Super Six HQ Holden

(Please print clearly)

Name: ______

Address: ______

Phones: (H) ______(B)______Fax ______

Mobile: ______Email: ______

1st Number Choice: ______2nd Number Choice: ______

PLEASE NOTE

Numbers 1 to 3 will be reserved and will be allocated by the club – do not assume you have these numbers!

Competitors that held a permanent number last season have first preference to that number.

Competitors have up to the 1st September 2014 to reapply for their last seasons number, after this time the number will become available. So please ensure you return your number form before this date.

3 Digit numbers and numbers beginning with 0 will not be recognised, however under special circumstances you may apply for such numbers but please be aware for example numbers such as ‘027’ or ‘0900’ will be registered and show on timing systems as ’27 ‘ or ‘90’.

Send Applications to: The Secretary

Saloon Car Racing NZ Inc

PO Box 90981

Victoria Street West, Auckland 1142

Please enclose $15.00 application Fee PER APPLICATION (registration only)

Make cheques payable to ‘SCRANZ’- Applications only accepted if accompanied by fee.

Special Note:

In view of the requirements of the Privacy Act, your permission is required in order to pass on these details (above) to other Circuits, MotorSport NZ Inc and other such Organisations. This would be done at the discretion of the SCRANZ Inc. Please sign the following before returning this form. " I give consent to my name, address, telephone/fax numbers which form part of this permanent number list being held by SCRANZ, and to be used for the Association's objectives. "

Signed: ______Date: ______