Registration Form

Pre Booking Form for Hamilton/Raglan Grasskhana

10th – 12th January 2003

To preregister for the Grasskhana, you must fill out the following form in its entirety. If you do not fill out all
sections your application will be rejected.

We will confirm via email when your submission has been recieved and processed. Thank you and we look
forward to seeing you at the event!

Your Details

Name:

Toyspeed Nickname [if applicable]....................

Email Address:

Location:

Where did you hear about this event
[i.e message board, website etc]?

Vehicle Details

Make:

Model:

Year:

Registration Number:

Comments on car HP/modifications that may help us..........
allocate your class

"Please secure my place at the Hamilton Toyspeed Grasskhana to be held from the 10– 12 Jan 2003 for

the reduced fee of $15. I understand that if the above car details do no match the vehicle I intend to

compete in on the day I may not be allegeable for the reduced price."

Signed....
Date

Name:
Toyspeed Nickname [if applicable]....................
Email Address:
Location:
Where did you hear about this event [i.e message board, website etc]?

Make:
Model:
Year:
Registration Number:
Comments on car HP/modifications that may help us.......... allocate your class