test & tune January 26 20192019 Test & Tune - January 26 Driver DetailsFirst Name*Last Name*Mobile No.*Email* Address* Street Address Address Line 2 City State Post Code Emergency Contact Name*Emergency Contact Number*Are you a BAC Member?*YesNoPlease enter your BAC Member No.*Do you need a AASA Circuit day license?*YesNoPlease enter your AASA or CAMS License No.AASA or CAMS License No.*License Expiry* AASA Day Licenses MUST be purchased at www.aasa.com.au with confirmation to be presented at sign on shed on the day of eventCar DetailsPlease select your car type*Please select your car typeRacecar SedanRoadcar SedanOpen Wheeler / MiniatureGo-KartYear of Car*Please Select201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Make*Model*Colour*Preferred Race Number*Capacity*Additional HireIf you would like to hire a powered garage or carport for this event, please select your desired garage or carport location from the maps using the below link. Once you have selected the garage or carport you desire, please select either yes or no to a garage or carport. This will then present a list of available garages for hire. Garages hired will automatically be removed from these lists.CLICK HERE TO VIEW GARAGE OR CARPORT POSITIONINGS » Link will open in a new window.Powered Garage ($50) or Double Carport Hire ($30)Yes, Id like to select from GARAGE TYes, I'd like to select a Double CarportNoneT GARAGES - Please select*Please SelectT Garage 3T Garage 4T Garage 5T Garage 6T Garage 7T Garage 8T Garage 9T Garage 10T Garage 11T Garage 12T Garage 13T Garage 14T Garage 15T Garage 16T Garage 17T Garage 18T Garage 19T Garage 20T Garage 21T Garage 22T Garage 23T Garage 24T Garage 25T Garage 26T Garage 27T Garage 28T Garage 29T Garage 30H GARAGES - Please select*Please SelectH Garage 1H Garage 2H Garage 3H Garage 4H Garage 5H Garage 6H Garage 7H Garage 8H Garage 9H Garage 10H Garage 11H Garage 12H Garage 13H Garage 14H Garage 15H Garage 16H Garage 17H Garage 18Double Carport*Please SelectCarport 1-2Carport 9-10Carport 11-12Carport 13-14Carport 15-16Carport 17-18Carport 19-20Carport 21-22Carport 23-24Carport 25-26Carport 27-28Carport 29-30Carport 31-32Carport 33-34Carport 35-36Carport 37-38Carport 39-40Carport 41-42Carport 43-44Carport 45-46Carport 47-48Carport 49-50Carport 51-52Carport 53-54Carport 55-56Payment / Terms & Conditions"I/We have read and understood the Supplementary Regulations issued for this Meeting and agree to be bound by them and by the National Competition Rules of the Australian Auto-Sport Alliance Pty. Ltd. (AASA) I/We also acknowledge and agree that neither Australian Auto-Sport Alliance Pty. Ltd., nor Winton Motor Raceway Pty. Ltd., nor the sponsor organisations, nor the land owners or lessees, nor the organisers of the race meeting/ event, nor their respective servants, officials, representatives or agents (all of whom shall collectively be called "the Organisers"), shall be under any liability for my death, or any bodily injury, loss or damage which may be sustained or incurred by me, as a result of participation in or being present at the event, except in regard to any rights I may have arising under the Trade Practices Act 1974. I/We acknowledge that motor sport is dangerous and accidents causing death, bodily injury, disability and property damage can, and do, happen. I/We accept the conditions of, and acknowledge the risks arising from, attending or participating in the event and being provided with the event services by AASA and the Associated Entities.Acceptance of Terms & Conditions* I accept I/We have read the above terms and conditions.Entry Fee T & T Jan 26th* Price: $ 160.00 BAC Member Entry Fee T & T Jan 26th* Price: $ 160.00 Powered Garage Hire T & T Jan 26th* Price: $ 50.00 Double Carport Hire T & T Jan 26th* Price: $ 30.00 Booking Fee T & T Jan 26th* Price: $ 0.00 Total $ 0.00 Credit Card*MasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Security Code Cardholder Name This iframe contains the logic required to handle Ajax powered Gravity Forms.