Fuel order form – Non-priority National-Regional Cars Fuel Order - International Event with Non-Priority National and Regional CarsPlease provide team and fuel required information for your order and submit detail by Friday, 9th September 2022. with your payment details. Thank you.Driver Name *Contact Email (Team Representative authorizing this order) *TOTAL AMOUNT OF FUEL REQUIRED (LITRES) *Fuel cost will be charged at $4.00 NZD per litre, including GSTPlease provide your best guess at your teams' fuel requirements per each Refuel Zone:Pre-rally (including Shakedown and SS1)Refuel Zone 1 - Service ParkRefuel Zone 2 - Te AkauRefuel Zone 3 - Te AkauRefuel Zone 4 - Te AkauRefuel Zone 5 - Te AkauRefuel Zone 6 - Te AkauRefuel Zone 7 - Service ParkRefuel Zone 8 - KaukapakapaRefuel Zone 9 - KaukapakapaRefuel Zone 10 - Service ParkRefuel Zone 11 - KaukapakapaRefuel Zone 12 - KaukapakapaRefuel Zone 13 - Service ParkFuel Purchase Refund - Fuel that is not used (in full unopened drums) can be refunded by negotiation post event. Fuel cost will be charged at $4.00 NZD per litre, including GSTI will pay by: *Bank DepositCredit Card (Please note a 3% transaction fee applies)Payment can be made to Rally New Zealand Club Inc bank account: ASB 12-3233-0608424-00 (Driver's last name as reference)Credit Card Number *Expiry Date *Name of Card Holder *I authorize the fuel charges to be charged to my credit card *YesI can supply a team member for refuel *YesNoI can supply a drum pump *YesNoI can supply a fire extinguisher *YesNoSUBMIT 622Share on Facebook103Share on Twitter107Share on LinkedIn
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