2019 MOD MITSUBISHI OWNERS DAY - REGISTRATION FORM

MOD (Mitsubishi Owner's Day) is returning to NZ in 2019. Open to ALL Mitsubishi vehicles, features include, cruising sessions, WORLD RECORD ATTEMPT (Number of Evo's & Mitsubishi vehicles on track), drop flag drag racing, show & shine, gymkhana + more. All entries cover 1 vehicle + 1 driver for the day. Spectators can purchase tickets separately at the gate.

TRACK ENTRY
Track entry gives the registered driver access to all activities at MOD e.g. flag drop drag racing, cruising, gymkhana and show & shine.

Pre-paid before 11pm 01/04/2019 $100*
Pre-paid before 11pm 10/05/2019 $130*
Pre-paid before 11pm 24/05/2019 $180*
AT THE GATE $250*

* INCLUDES HD HEALTH AND SAFETY LEVY OF $25

PIT GARAGES ARE FULL contact pare@downtimenz.com

       
PERSONAL DETAILS   VEHICLE DETAILS  
Firstname * Rego/Plate *
Lastname * Make * Mitsubishi
Address * Model *
Town/City *
Year
Mobile *    
Email * PHOTO UPLOAD
     
Only .jpg, .jpeg, .gif, .png formats allowed to a max size of 4 MB.

NOTE: Your competitor gallery image will only look as good as the photo you have uploaded. Photo's with minimal/no watermarks work best.
ENTRY DETAILS    
Entry Type *
Car Club
  If your club isn't listed, contact registrations@downtimenz.com
BILLING DETAILS    
Payments made to: Account Name: "Downtime Entertainment Ltd"
Account Number: 12-3454-0090024-00 (ASB)
Reference: Your Rego\Plate
Particulars: MOD + Your Last Name
 
CONDITIONS OF ENTRY

  1. Entry fee is not refundable.
  2. Downtime Entertainment reserves the right to use any photograph/video taken at the event without the expressed written permission of those included within the photograph/video.
  3. Downtime Entertainment reserves the right to refuse entry to any person(s). All entrants must conduct themselves in a well-behaved manner at all times.
  4. Downtime Entertainment reserves the right to add/remove trophy categories.
  5. Downtime Entertainment reserves the right to inspect vehicles for alcohol upon entry to the venue.
  6. Failure to comply with the 'conditions of entry' will result in dismissal without refund.
  7. Please make sure your email address is correct. All important information will be emailed to you for your reference so you know what is happening on the day. Downtime Entertainment cannot be held responsible for any data entry errors.
 


After clicking the SUBMIT button your entry will be processed and you will be issued with a registration number. Once we have picked up your payment by direct debit, we will then confirm your entry via email within 1-3 working days.

WELCOME TO 2019 MOD MITSUBISHI OWNERS DAY.

I have read, understand and accept the above conditions of entry *