Shannons Rally SA - Enter the Event - Rally South Australia

Entry Details

Entry is for*

Classic Event
ECCRS
Invitational
SARC
Regularity
Regularity Pro

Classic Event Subcategory*

C1
C2
C3
C4

ECCRS Subcategory*

2WD
4WD

Invitational Subcategory*

2WD
4WD

Invitational Event Type*

Whole event
Daylight only

SARC Subcategory*

P1
P2
P3
P4
P5
P6
Classic
Club Rally Car

Driver Age*

Co-Driver Age*

Car Age*

1. Entrant Details

Entrant Name*

2. Entry Details Driver

Driver Name*

Mobile*

Email*

Address*

Car Club Name

Emergency Contact Name*

Next of Kin Mobile*

Next of Kin Email*

Next of Kin Relationship*

3. Entry Details (Co Driver)

Co Driver Name*

Mobile*

Email*

Address*

Car Club Name

Emergency Contact Name*

Next of Kin Mobile*

Next of Kin Email*

Next of Kin Relationship*

4. Entry Details (Additional)

All Event Correspondence To?*

Driver
Co Driver
Entrant
Other

*Please note this will also be the postal address your Rally Box is sent to. Someone must be able to sign for the package. A work address is usually best.

Name*

Address*

5. Competition Vehicle Details

Make*

Model*

Year*

Registration No*

6. Service Crew Chief

Name*

Mobile*

Email*

7. Entry Fees

Entry For*

Classic Event (C1-C4) $ 1,950.00
ECCRS (2WD/4WD) $ 1,950.00
Invitational $ 1,950.00
SARC (All Daylight Stages) $ 1,450.00
Regularity (Day 2&3, Day Only) $ 850.00
Regularity Pro $ 1,450.00

Entry fees will increase by $200 from 1 January 2025.

Entry tickets

8. Extras

Extra (Non-Refundable) Sunday lunch tickets $ 10.00 AUD

Price: $ 10.00

Extra (Non-Refundable) Sunday night BBQ tickets $ 25.00 AUD

Price: $ 25.00

Additional Road Book & Map Set $ 80.00 AUD

Price: $ 80.00

Extra Event Map/s $ 10.00 AUD

Price: $ 10.00

Extra Road Book/s $ 75.00 AUD

Price: $ 75.00

Utilise mandatory stickers only $ 150.00 AUD

9. Merchandise

Please note that the rally box will contain two black shirts and two caps. Please select your 2 shirt sizes below.

Additional event merchandise is available from the order form at https://rallysa.com.au/events/rally-of-the-heartland/merchandise/

Shirt #1 size*

Shirt #2 size*

10. Payment Options

Payment via?*

Credit Card (fees apply)
EFT (vastly preferred)

Total

$ 0.00

Credit Card fees

Price: $ 0.00

Visa/MasterCard fees: 1.75% + 30c

Credit Card (Visa or MasterCard only)*

Visa or MasterCard only

Card Details

Cardholder Name

Payment Via EFT:
BSB: 065 005
ACC: 10908757
Account Name: Rally SA
*please use Drivers surname as the reference and email payment advice to [email protected]

Motor racing is dangerous

Declaration*

MOTORSPORT IS DANGEROUS: Motorsport Australia and its associated entities exclude all liability for your harm howsoever arising from your attendance at the event except to the extent prohibited by law. Read the full disclaimer here.
By submitting this form, you accept these conditions and are deemed to have signed this waiver.

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