Name of Entrant: _____________________________
Passenger 1:________________________________
Passenger 2:________________________________
Truck Make_____________________Year________
Model______________________Rego___________
Date of intended start__________ Finish__________
Contact Number_____________________________
Mobile: ____________________________________
Email address: _______________________________
____________________________________________
Postal Address________________________________
____________________________________________
CB Radio Yes / No circle which applicable
Entry fee of $150 payable - please include it with this form. Please complete one entry form per vehicle.
Post to:
North Classic Commercials 1372 State Highway 56 RD7 Palmerston North
New Zealand Classic Commercials North Island Long Lap