REGISTRATION

Trans Agulhas 2024 Entry Form

Trans Agulhas Challenge 28 December to 31 December

Pilot Info:

First Name

Last Name

Email

Phone

ID Number

Blood Type

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Club & Licence Number

How many Trans Agulhas races have you completed

Next of Kin Name

Next of Kin Cell Number

Co Driver Info:

First Name

Last Name

Email

Phone

ID Number

Blood Type

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Club & Licence Number

How many Trans Agulhas races have you completed

Next of Kin Name

Next of Kin Cell Number

Racing Info:

Boat Number

Engine make & year model

Team Manager Name

Official Vehicle 2 and Registration number

Team Manager Cell number

Official Vehicle 1 and Registration number

Please select your class of racing

Stock

Pro-Stock

Modified

Team Main Sponsor

T-Shirts

Payments

Entry Fee options & dates:

Option 1: Entry fee paid & received before 30 September 2024 = R13 000

Option 2: Entry fee paid & received between 1 Oct & 30 Nov 2024 = R14 500

Option 3: Entry fee paid & received between 1 Dec & 10 Dec 2024 = R16 000

Voucher

Bank details: BOOST GROUP
FNB
Bayside Branch 250655
Account number 63004054887

Checklist:

EFT

Email proof of payment: events@trans-agulhas.com

Use boat number or Pilot name & surname as reference

Thanks for submitting!