Targa NZ – Expression of Interest

Driver

Co-driver

Vehicle details

Competition/Retro/Time Trial/Tour

Information request (e.g., shipping, leasing a car, accommodation)

Customer information — Driver

Driver home phone

Cell phone

Address

Customer information — Co-driver

Co-driver home phone

Cell phone

Address

Driver date of birth

Male/Female

Male Female Prefer not to say

Are you a previous customer?

If not, who referred you?

Other comments

I agree to be contacted about my enquiry *