ROCKHAMPTON SUPER STOCKERS

A Division Controlled by Rockhampton Saloon Car Club

RSCC Super Stockers Registration

The RSCC Super Stockers require annual registration. This registration is organised through the Rockhampton Saloon Car Club. The daylight inspections are also arranged by the club. To begin this process a registration form needs to be completed and a small fee paid.

Please use the registration form below to register your RSCC Super Stocker.

If you are requiring a new “Super Stocker” car number with prefix “RK”, please liaise with Laurie to find out what car numbers are available.

Laurie can be contacted via lauriestorer4x@bigpond.com or by mobile 0428 436 158.

RSCC Super Stockers Registration Form

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RSCC Super Stocker Registration Application

**N.B. All fields marked with an * are mandatory and must be completed for successful submission of the form!**

RSCC Super Stocker Registration

Information

The Annual Registration Fee including your logbook is $50.

Annual Super Stocker Registration

Super Stocker Owner's Details

**N.B. All fields marked with an * are mandatory and must be completed for successful submission of the form!**

First Name*

Enter here...

Last Name*

Enter here...

Date of Birth*

Select Date ×

Contact Email*

Email Address

Street Address:*

Street No. and Name:

Town/Suburb

Country

State:

Postal Code

Home Phone:

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Mobile Phone:*

Enter here...

Do you hold a current Speedway Australia License?*

Yes

License Details

License Type:

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License Number:

Enter here...

License Expiry:

Select Date ×

RSCC Super Stockers Registration

**N.B. All fields marked with an * are mandatory and must be completed for successful submission of the form!**

RSCC Super Stocker Car Details

Please Note:

If you require a vehicle to be daylighted please contact Laurie Storer or Alan Stock to arrange this.

If you do not yet have a racing number issued by the RSCC please contact Laurie Storer to arrange this

Laurie Storer – 0428 436 158 – lauriestorer4x@bigpond.com
Alan Stock – 040 815 7434 – alan.stock.68@gmail.com

The above details will be emailed to you on completion of this application

Car Make & Model*

To arrange your daylight inspection please see the contact details above.

Enter Here

Car Number:

If you do not yet have a racing number issued by the RSCC please leave this BLANK.

Enter Here

Agreement & Payment

**N.B. All fields marked with an * are mandatory and must be completed for successful submission of the form!**

Data Collection & Storage

Your Personal Data

Your personal data is required under law and will be stored securely by our club. Your data will NOT be sold, swapped or shared by us to any unauthorised entities!*

I give permission for the storage of my personal data in accordance with the Privacy Policy.

Electronic Signature Agreement

I hereby apply for membership of the Rockhampton Saloon Car Club. I agree to abide by the Rockhampton Saloon Car Club Constitution and the Australian Speedway Race Rules, Regulations and Specifications. I give permission for the club to use photos of myself and race car for promotional purposes.*

By selecting this, you are signing this application electronically

Online Secure Payment

Payment Amount

Payment Method*

Credit Card/Debit

Enter Card Details*

we do not store any information you provide

By submitting this form, you hereby agree to accept our Terms & Conditions. Your IP address 203.143.85.252 will be stored in our database.

The Rockhampton Saloon Car Club Inc. (RSCC) Technical Committee under the guidance of the Management Committee, has released the latest version of our RSCC Super Stockers specification book.

Please use the button below to view and download your copy.

ROCKHAMPTON SUPER STOCKERS

A Division Controlled by Rockhampton Saloon Car Club

RSCC Super Stockers Registration

RSCC Super Stockers Registration Form

Form successfully restored

RSCC Super Stocker Registration Application

**N.B. All fields marked with an * are mandatory and must be completed for successful submission of the form!**

RSCC Super Stocker Registration

The Annual Registration Fee including your logbook is $50.

Super Stocker Owner's Details

**N.B. All fields marked with an * are mandatory and must be completed for successful submission of the form!**

License Details

RSCC Super Stockers Registration

**N.B. All fields marked with an * are mandatory and must be completed for successful submission of the form!**

RSCC Super Stocker Car Details

Agreement & Payment

**N.B. All fields marked with an * are mandatory and must be completed for successful submission of the form!**

Data Collection & Storage

Your Personal Data

Electronic Signature Agreement

Online Secure Payment

Your Super Stocker registration has been submittedted

Don't Be Greedy - Share Us Around!

Site Directory

Visitors Care

Follow Us

Rockhampton
Saloon Car Club

Privacy

Registration Form

Contact Us

ROCKHAMPTON SUPER STOCKERS

A Division Controlled by Rockhampton Saloon Car Club

RSCC Super Stockers Registration

RSCC Super Stockers Registration Form

Form successfully restored

RSCC Super Stocker Registration Application

N.B. All fields marked with an * are mandatory and must be completed for successful submission of the form!

RSCC Super Stocker Registration

The Annual Registration Fee including your logbook is $50.

Super Stocker Owner's Details

N.B. All fields marked with an * are mandatory and must be completed for successful submission of the form!

License Details

RSCC Super Stockers Registration

N.B. All fields marked with an * are mandatory and must be completed for successful submission of the form!

RSCC Super Stocker Car Details

Agreement & Payment

N.B. All fields marked with an * are mandatory and must be completed for successful submission of the form!Data Collection & Storage

Your Personal Data

Electronic Signature Agreement

Online Secure Payment

Your Super Stocker registration has been submittedted

Don't Be Greedy - Share Us Around!

Site Directory

Visitors Care

Follow Us

Rockhampton Saloon Car Club

Privacy

Registration Form

Contact Us

**N.B. All fields marked with an * are mandatory and must be completed for successful submission of the form!**

**N.B. All fields marked with an * are mandatory and must be completed for successful submission of the form!**

**N.B. All fields marked with an * are mandatory and must be completed for successful submission of the form!**

**N.B. All fields marked with an * are mandatory and must be completed for successful submission of the form!**

Data Collection & Storage

Rockhampton
Saloon Car Club