APPLICATION FOR VEHICLE LOGBOOK - IHRA Australiaihra.com.au/2018 Logbook Application Form...
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APPLICATION FOR VEHICLE LOGBOOK All Logbook applications must be accompanied by a completed Technical & Chassis (Professional Classes only) Inspection forms Logbooks and Inspections are valid for a period of two years from the month of issue All current Logbooks applying to the vehicle for which this application is being made must be returned with this application form Amendments to a Logbook, or the details recorded therein, may only be made by the track office, on receipt of written confirmation from the legal owner of the vehicle Application form: New Vehicle Renewal of Logbook New owner of existing vehicle Lost Logbook Previous Owner Vehicle Details Vehicle Type Dragster Coupe Altered Utility Funny Car Top Fuel Nitro F/C Hot Rod (pre 1948) Sedan Motorcycle Other Body Manufacturer Model Year Welded Roll Cage Half Chassis Bolt In Date of Manufacturer Chassis Constructed By Chassis ID Number IHRA Class 1 2 (if applicable) (Compulsory) Engine Details (Two different engines may be listed) 1. 1. 2. 2. Engine make Capacity (Cub in/cc) Engine Specifics: 8cyl 6cyl 4cyl Rotary Supercharged Turbocharged Nitrous Oxide Other FORM IHRA-AUS 2017 LOGBOOK V1.5 Page 1
Transcript of APPLICATION FOR VEHICLE LOGBOOK - IHRA Australiaihra.com.au/2018 Logbook Application Form...
APPLICATION FOR VEHICLE LOGBOOK
All Logbook applications must be accompanied by a completed Technical & Chassis (Professional Classes only)Inspection forms
Logbooks and Inspections are valid for a period of two years from the month of issue
All current Logbooks applying to the vehicle for which this application is being made must be returned with thisapplication form
Amendments to a Logbook, or the details recorded therein, may only be made by the track o�ce, on receipt ofwritten con�rmation from the legal owner of the vehicle
Application form:
New Vehicle Renewal of Logbook
New owner of existing vehicleLost Logbook Previous Owner
Vehicle Details
Vehicle Type
Dragster
Coupe
Altered
Utility
Funny CarTop Fuel Nitro F/C Hot Rod (pre 1948)
Sedan Motorcycle Other
Body Manufacturer Model Year
Welded Roll Cage Half Chassis Bolt In Date of Manufacturer
Chassis Constructed ByChassis ID Number
IHRA Class 1 2
(if applicable)(Compulsory)
Engine Details (Two di�erent engines may be listed)
1.
1.
2.
2.
Engine make
Capacity(Cub in/cc)
Engine Speci�cs: 8cyl 6cyl 4cyl Rotary Supercharged Turbocharged Nitrous Oxide
Other
FORM IHRA-AUS 2017 LOGBOOK V1.5
Page 1
Page 2
Vehicle Owners Details
Owner/Driver
Name
Postal Address
State / Postcode /
Phone
IHRA Member #
IHRA Licence #
Partner/Co-Owner
Name
Postal Address
State / Postcode
Phone
IHRA Member #
IHRA Licence #
I/We the undersigned hereby state that the details shown above, and on the front of the form are true, and I/We undertake toobserve all the requirements of the track & IHRA regulations pertaining to the issue of the logbook for the vehicle described.I/We declare that the vehicle as described above is owned by me and/or parties stated above.
Signed (Owner/Driver) _______________________________ Signed (Partner/Co-Owner) __________________________________
Date ____________________ Date ____________________
Vehicle Log Book $50.00 (inc GST) Junior Dragster $25.00 (inc GST)
Mastercard
Signature of Cardholder ______________________________________
Visa
/Expiry Date
Credit Card Details ** please note all credit card transactions will incur and additional $2.00 (inc GST) surcharge**
Enclosed $ Cheque / Money Order / Direct Deposit (EFT) / Credit Card Details
O�ce use only
New Renewal Logbook Expiry Date Technical Inspection Date
IHRA Membership # IHRA Licence # Type of Vehicle IHRA Class
Technical InspectorCredentials #
Technical InspectionForm Serial # Tech Sticker #
CVVLast 3 digits
DatabaseEntry
