APPLICATION FOR VEHICLE LOGBOOK
APPLICATION FOR VEHICLE LOGBOOK
All Logbook applications must be accompanied by a completed Technical & Chassis (Professional Classes only) Inspection forms Logbooks and Inspections are valid for a period of two years from the month of issue All current Logbooks applying to the vehicle for which this application is being made must be returned with this application form Amendments to a Logbook, or the details recorded therein, may only be made by the track office, on receipt of written confirmation from the legal owner of the vehicle
Application form: New Vehicle
Renewal of Logbook
Lost Logbook
New owner of existing vehicle
Previous Owner
Vehicle Details Vehicle Type Top Fuel
Dragster
Altered
Funny Car
Sedan
Coupe
Utility
Motorcycle
Body Manufacturer Half Chassis
Year
Bolt In
Date of Manufacturer
Chassis Constructed By
Chassis ID Number IHRA Class
Other
Model
Welded Roll Cage
Hot Rod (pre 1948)
Nitro F/C
2
1 (Compulsory)
(if applicable)
Engine Details (Two different engines may be listed) Engine make
1.
2.
Capacity (Cub in/cc)
1.
2.
Engine Specifics:
8cyl
6cyl
4cyl
Rotary
Other
Page 1 FORM IHRA-AUS 2017 LOGBOOK V1.5
Supercharged
Turbocharged
Nitrous Oxide
Vehicle Owners Details Owner/Driver
Partner/Co-Owner
Name
Name
Postal Address
Postal Address
State / Postcode
State / Postcode
/
Phone
Phone
Email
Email
IHRA Member #
IHRA Member #
IHRA Licence #
IHRA Licence #
I/We the undersigned hereby state that the details shown above, and on the front of the form are true, and I/We undertake to observe all the requirements of the track & IHRA regulations pertaining to the issue of the logbook for the vehicle described. I/We declare that the vehicle as described above is owned by me and/or parties stated above. Signed (Owner/Driver) _______________________________ Signed (Partner/Co-Owner) __________________________________ Date ____________________
Date ____________________
Vehicle Log Book $50.00 (inc GST)
Junior Dragster $25.00 (inc GST)
Enclosed $
Cheque / Money Order / Direct Deposit (EFT) / Credit Card Details ** please note all credit card transactions will incur and additional $2.00 (inc GST) surcharge**
Credit Card Details Mastercard
Visa
Expiry Date
/
CVV Last 3 digits
Signature of Cardholder ______________________________________
Office use only New
Renewal
Logbook Expiry Date
Technical Inspection Date
IHRA Membership #
IHRA Licence #
Type of Vehicle
Technical Inspector Credentials #
Technical Inspection Form Serial #
Tech Sticker #
Page 2
IHRA Class
Database Entry
All Logbook applications must be accompanied by a completed Technical & Chassis (Professional Classes only) Inspection forms Logbooks and Inspections are valid for a period of two years from the month of issue All current Logbooks applying to the vehicle for which this application is being made must be returned with this application form Amendments to a Logbook, or the details recorded therein, may only be made by the track office, on receipt of written confirmation from the legal owner of the vehicle
Application form: New Vehicle
Renewal of Logbook
Lost Logbook
New owner of existing vehicle
Previous Owner
Vehicle Details Vehicle Type Top Fuel
Dragster
Altered
Funny Car
Sedan
Coupe
Utility
Motorcycle
Body Manufacturer Half Chassis
Year
Bolt In
Date of Manufacturer
Chassis Constructed By
Chassis ID Number IHRA Class
Other
Model
Welded Roll Cage
Hot Rod (pre 1948)
Nitro F/C
2
1 (Compulsory)
(if applicable)
Engine Details (Two different engines may be listed) Engine make
1.
2.
Capacity (Cub in/cc)
1.
2.
Engine Specifics:
8cyl
6cyl
4cyl
Rotary
Other
Page 1 FORM IHRA-AUS 2017 LOGBOOK V1.5
Supercharged
Turbocharged
Nitrous Oxide
Vehicle Owners Details Owner/Driver
Partner/Co-Owner
Name
Name
Postal Address
Postal Address
State / Postcode
State / Postcode
/
Phone
Phone
IHRA Member #
IHRA Member #
IHRA Licence #
IHRA Licence #
I/We the undersigned hereby state that the details shown above, and on the front of the form are true, and I/We undertake to observe all the requirements of the track & IHRA regulations pertaining to the issue of the logbook for the vehicle described. I/We declare that the vehicle as described above is owned by me and/or parties stated above. Signed (Owner/Driver) _______________________________ Signed (Partner/Co-Owner) __________________________________ Date ____________________
Date ____________________
Vehicle Log Book $50.00 (inc GST)
Junior Dragster $25.00 (inc GST)
Enclosed $
Cheque / Money Order / Direct Deposit (EFT) / Credit Card Details ** please note all credit card transactions will incur and additional $2.00 (inc GST) surcharge**
Credit Card Details Mastercard
Visa
Expiry Date
/
CVV Last 3 digits
Signature of Cardholder ______________________________________
Office use only New
Renewal
Logbook Expiry Date
Technical Inspection Date
IHRA Membership #
IHRA Licence #
Type of Vehicle
Technical Inspector Credentials #
Technical Inspection Form Serial #
Tech Sticker #
Page 2
IHRA Class
Database Entry
