Please confirm race number availability before submitting.

Simply copy and complete the following fields within an email, and send to convenor2@ercrace.nz.


First Name:
Last Name:
Date of Birth:

Home Phone:
Mobile Phone:
Work Phone:

Address 1:
Address 2:
Suburb:
City:
Postcode:

Race Number:
Race LIC:
Expires (Month):
Car Club:
Make:
Model:
Colour:
Year:
Arrow or AES:
Body:
CC:
Logbook Number:
COD Number or No COD:
Transponder Number or Hire:
Rollbar Number: