February 9, 2018

Competition Entry Form

ORANZ National Finals 2018

Payment Information

All payments are to be made to:

Canterbury Off-Road Club

03 1395 0561594 00  (NOTE CHANGE OF BANK ACCT NUMBER)

(Please indicate name and car number as a reference on internet banking payments)

PLEASE MAKE SURE YOU UPLOAD A CLEAR PHOTO OF YOUR CAR SUITABLE FOR USE FOR PROMOTIONAL PURPOSES

Entry Details

Driver Information









Owner Information

To be completed if owner of vehicle is other than driver.





Vehicle Details





Prizegiving

Pictures

Please upload a photo of your vehicle.

Payment Method

I have read and accept the indemnity.