MEMBERSHIP FORM

Member Details:

Name *

First

Last

Address *

Suburb *

Postcode *

State *

Mobile Phone *

Home Phone *

Email *

(Club correspondence):

Emergency Contact Name *

Emergency Contact Number *

IPRAWA Member Number

(if known):

Current CAMS Competition Licence *

Vehicle and Eligibility Details (As log booked):

Make *

Model *

Year of Manufacture: *

Late Model¹ *

Minimum Racing Weight² *

Log Book Number: *

Engine Capacity (CC) *

(swept volume)

Supercharged / Turbocharged: *

Effective Capacity³ (CC) *

1. Late Model – Refer 3J regulation 1.15.
2. Minimum Racing Weight applicable to Late model vehicles that have replaced the engine block and/or head with a variant that was not available for your log booked vehicle. Refer 3J Article 17.
3. Refer 3J regulation 1.5 for Effective capacity multiplier. e.g Swept volume 2505cc plus turbocharger. Effective Capacity is 2505 x 1.7 = 4259cc (rounded up).
Car must comply with current 3J regulations to be eligible for IPRAWA championship points.
Driver must be a current financial member of IPRAWA at time of racing to be eligible for IPRAWA championship points. Associate Members are in‐eligible for IPRAWA Championship Points

Membership (From Date of Membership Approval to End of that Calendar Year): *

Competing Membership ($100.00)
Associate Membership ($100.00)

Payment Options:

Cheques Payable to: Improved Production Racing Association of WA Inc

Direct Deposit: BSB: 066 112 Account: 1057 4072
(Also please include your full name in the transfer description)

I hereby apply to become of a member of IPRAWA Inc. If accepted, I agree to be bound by the Rules of the Association of IPRAWA Inc., which are available online. www.iprawa.net/documents
I have read and agree to abide by the IPRAWA Code of Conduct, which are available online. www.iprawa.net/documents

CONTACT

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iprawacommittee@gmail.com

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IPRAWA, TBC

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