Enter the event using this form. Log into your account first via the Menu to have fields pre-filled.

Competitor 1 (the logged in user completing this form)

Logged In User: Are you the Driver or Navigator? (You will be called Competitor 1 for this form)*

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First Name*

Last Name*

Competitor 1: AMSAG Member ID*

Competitor 1: Date of Birth*

Competitor 1: Email Address*

Competitor 1: Phone Number*

Competitor 1: Street Address*

Competitior 1: Suburb*

Competitor 1: State*

Competitor 1: Post Code*

Competitor 1: Competition Licence Number*

Competitor 1: Competition Licence Expiry*

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Competitor 2

Is Competitor 2 the Driver or Navigator?*

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Competitor 2: First Name*

Competitor 2: Last Name*

Competitor 2: AMSAG Member ID*

Competitor 2: Date of Birth*

Competitor 2: Competition Licence Number*

Competitor 2: Competition Licence Expiry*

AMSAG Logbook*

Vehicle Registration*

Vehicle Registration Expiry*

Vehicle Year*

Vehicle Make*

Vehicle Model*

Vehicle Engine CC*

Vehicle Engine Type*

Turbo or Rotary?*

Driven Wheels*

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