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VHRR COMPETITOR MEMBERSHIP FORM

Please fill in the required information below, to apply to become a racing member of the Victorian Historic Racing Register. You should only use this form if you wish to compete in VHRR motorsport events and/or the annual club championship or with other affiliated MSA clubs.

NOTE: Should you prefer to use a manual completion PDF form, please click HERE to download and submit directly to our membership department.

First name

Last name

Street Address

City

Postal / Zip code

Street Address Line 2

Region/State/Province

Country

Email

Date of Birth * required

Spouse/Partner Full Name

Spouse/Partner Date of Birth

*If Applicable

Code

Phone

Membership Nominations

If you have membership nominations, please insert them below.

Name of Nominee One

Name of Nominee Two

Please tick this box if you do not have a nomination.

Choose the racing category(s) that you are most likely to compete in. * Required

Group Ja - Sports and Racing with history before the end of 1930

Group Jb - Specials built at any time with components from period before the end of 1930

Group Ka - Sports and Racing with history 1931-1940

Group Kb - Specials built at any time with components from period 1931-1940

Group Sa - Prod Sports cars without competition history built before end of 1960

Group Sb - Prod Sports cars without competition history in the period 1961-1969

Group Sc - Prod Sports cars without competition history in the period 1970-1977

Group Lb - Racing & Sports cars 1941-1960

Group M - Racing & Sports cars 1961-1965

Group Nb - Prod Touring cars built before the end of 1964

Group Nc - Prod Touring cars of a type racing in Australia before the end of 1972

Group C & A - Cars which meet eligibility for Aust Group C touring cars in periods 1973 -1992.

Group O - Racing & Sports cars 1966-1969

Formula 5000 - Formula 5000 racing cars pre 1978

Group Q - Racing & Sports cars, Clubman & Prod sports cars with racing history 1970-1977

Group R - Racing, Sports racing, Sports 1300 & Prod sports cars with racing history from 1978

Historic Formula Ford - Groups Fa – Pre 1978. Fb – 1978-1983. Fc – 1984-1989

Historic Formula Vee - Groups Va and Vb - 1965 to 1985

Regularity - Generally open to cars of the 5th Category (Historics)

Vehicle and Racing History

Please state your racing history if any. If you don't have any, please type "none"

Please state your current and/or previous racing car ownership history.

Do You Wish To Compete In The Club Championship? * Required

YES

NO

Confirm Your Membership Cost *

Competitor Membership - AU$160.00

I agree to the terms & conditions

Thanks for submitting!

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