Name: Takara Rally
Start: 2025-05-17T00:00:00+11:00
End: 2025-05-17T23:59:59+11:00
Location: Takara Airport Strip

Select Class entered

4WD
2WD
QUADS

DRIVER DETAILS / INFO PILOTE

Driver's name *

First

Last

Driver's Email Address *

Driver's Mobile number *

Driver's Physical Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Driver's Date of Birth *

Co-Driver's age group

Under 19
19-25
26-35
36-60
61 plus

Driver's Emergency Contact Name *

Driver's Emergency Contact Number *

CO-DRIVER INFO / INFO COPILOTE

Co-Driver's name *

First

Last

Co-Driver's Email Address *

Co-Driver's Mobile Number *

Co-Driver's Physical Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Co-Driver's Date of Birth *

Co-Driver's age group

Under 19
19-25
26-35
36-60
61 plus

Co-Driver's Emergency Contact Name *

Co-Driver's Emergency Contact Number *

VEHICLE DETAILS / INFO VEHICULE

Vehicle Make *

Vehicle Model *

Registration Number (if it is registered)

Engine Capacity (cc's)

Year of Manufacture

Log Book Number (If you have one)

ENTREE FEES / FRAIS D'INSCRIPTION

Choose the category you are in: *

ONE DAY VRC 4WD ALLCOMERS - The rally registration fee includesis just for the participation of the rally and doesn't anything. - 20,000 VUV
ONE DAY VRC 2WD ALLCOMERS - The rally registration fee includesis just for the participation of the rally and doesn't anything. - 20,000 VUV
ONE DAY VRC QUAD ALLCOMERS - The rally registration fee includesis just for the participation of the rally and doesn't anything. - 8,000 VUV

Member ship Automobile Club De Port-Vila

Price: 5,000 VUV

Quanitity

Total

Item Quantity Qty Total

There are no products selected.

Choose the category you are in: - ONE DAY VRC 4WD ALLCOMERS - The rally registration fee includesis just for the participation of the rally and doesn't anything. 1 20,000 VUV

Choose the category you are in: - ONE DAY VRC 2WD ALLCOMERS - The rally registration fee includesis just for the participation of the rally and doesn't anything. 1 20,000 VUV

Choose the category you are in: - ONE DAY VRC QUAD ALLCOMERS - The rally registration fee includesis just for the participation of the rally and doesn't anything. 1 8,000 VUV

Member ship Automobile Club De Port-Vila 0 0 VUV

Total 0 VUV

0 VUV

I WILL PAY BY / LE PAIEMENT SERA FAIT PAR

Cash
Cheque (to be addressed to ACPV)
Bank Transfer (Bank Details below)

ACPV Bank Details

Name: Automobile Club de Port Vila
Bank: Bred Bank Vanuatu
SWIFT Code: BREDVUVX
Account Number: 000245151010019

PAY Driver's (download

Upload Signed indemnity Form (download it from link below)

Drag & Drop Files, Choose Files to Upload

First download INDEMNITY FORM from link below, sign it and upload it here, to submit with your entry form.

Download Indemnity Form

Racing in the heart of Vanuatu

Takara Rally

Takara Rally

DRIVER DETAILS / INFO PILOTE

CO-DRIVER INFO / INFO COPILOTE

VEHICLE DETAILS / INFO VEHICULE

ENTREE FEES / FRAIS D'INSCRIPTION

ACPV Bank Details

Related

Details

Venue

Organizer