Riverina Drag Racers Association

                                                                      FORD VS HOLDEN STREET FIGHT

                SUNDAY 16 th APRIL 2006

                                 Entries Close WEDNESDAY  12th April 2006

 Held under sanction from Australian National Drag Racing Association. The organisers reserve the right

to enter cars/bikes in the event deemed appropriate subject to not being in conflict with national rules 

DRIVER: ____________________________________________________

POSTAL ADDRESS:___________________________________________

PHONE NO.:_______________ EMAIL ADDRESS:___________________

ROAD LICENCE NO./ANDRA LICENCE: ___________________________

VEHICLE MAKE & TYPE: _______________________________________

YEAR OF MANUFACTURE: __________VEHICLE COLOUR:___________

ENGINE MAKE & CAPACITY: ____________________________________

BRACKET: __________________________________________________

STREET FIGHT CONTENDER:           YES   /    NO                   HEAVY  /   LIGHT

ANDRA INJURED DRIVER’S BENEFIT FUND COVER WILL ONLY EXTEND TO PIT CREW

1……………………..............…………..    2………………………………….

DRIVER…………………………………………. 

WE HAVE READ AND AGREE TO ABIDE BY THE RDRA RULES AND REGULATIONS.     [      ]

PLEASE TICK THE BOX TO INDICATE THAT ALL NOMINATED AGREE TO THE ABOVE STATEMENT

            

ENTRY FEE:                     RDRA MEMBERS                          $77.00

                                           NON-RDRA MEMBERS                 $88.00

                                           JUNIOR DRAGSTER                     $44.00

                                           LATE ENTRIES                  $22.00 EXTRA

LATE ENTRIES WILL BE ACCEPTED UNTIL 12th April, 2006   

 post entries to:           Riverina Drag Racers Association 

         Farm 103, Grevillia Street   LEETON  NSW  2705

    (Entry fee must accompany form. or you can remit payment by EFT

 Direct Deposit Details BSB: 633-000  ACC: 123520215 )

PLEASE QUOTE YOUR NAME WITH EFT PAYMENT    

 SCRUTINEERS USE ONLY:

 

BRAKES

 

SEAT BELTS

 

CLOTHING & HELMET

 

STEERING

 

FUEL LINES

 

WHEEL & TYRES

 

EXHAUST

 

FLASH SHIELDS

 

OVERFLOW CATCH  

 CAN

 

 

BODY

 

NUMBERING

 

LUGS

 

FIREWALL

 

OIL LEAK/CLAMP

 

SUSPENSION

 

ROLL CAGE

 

GENERAL APPEARANCE

 

ENGINE NAPPY

 

BLOWER REST

 

FLYWHEEL SHIELD