Entry form | Life

02 Sep 2004

All 'Competition Bookings' are to be taken on a first come, first served basis. Once race field quantities have been filled, we will automatically close the book.
The entry fees are as follows:

Private entry without corporate branding: R10 000 Ex VAT.
Corporate entry. This is for any car with branding: R20 000 Ex VAT.

A forty percent (40%) non-refundable deposit is required to secure your entry and number.

Deposits are to be paid directly to our attorneys, and into the following account:

Cranko Karp & Associates Inc.
Trust Account.
Nedbank
Kruis Street
Branch Code: 190605
Account No.: 1906316465

Please ensure that when making a direct deposit, you state the reference as 'Fireball Run'. This will help facilitate the administration of the funds. The organisers' legal representative is Paul Carbonari.

NB.

The following numbers are to be sold at a R5 000 Ex VAT premium, and will also be allocated immediately upon request: One, Three, Seven, Ten, Eleven, Thirteen, Twenty, Twenty-one, Thirty, Forty, Fifty, Sixty. In 2005, the overall winner from 2004 will automatically be given Number One.

Included in the entry are the following:

Luxury hotel accommodation at each destination (Based on a double room sharing).
A cold beer waiting the moment you arrive at each hotel!
Secure overnight parking.
Breakfast each day.
A picnic basket (Munchies) filled with catering and beverages for each days run.
All evening meals with wine & mineral waters (not unlimited), at the Gala theme evenings at various casinos.
VIP entrance to party nights.
Fully detailed route books compiled from the pre-driven selected routes.
Official Fireball Run 2004 car decals and door numbers for your car.
Participation at all National race circuits throughout the route.
A shot at the title, trophy and free entry into next years' event.
Free entry into the 'Auto Africa' automotive showcase in Johannesburg, where we are to host a 'Concourse de Elegance'.
Final night gala and awards ceremony at Sun City.
Special souvenir gifts for all Fireball Run 2004 participants.
Two by fully equipped ICU Ambulance units, throughout the run. One in front of the pack, and one behind.
Two by fully equipped rescue and life support units. One in front of the pack, and one behind.
Road freighting of all luggage between race points and destinations. This does not include the arrival or departure from the event, but is merely there to assist the crews, and lessen their daily burdens.
Services of the Fireball Run 2004 Organising Committee Event Managers, Checkpoint Crews, Photographers and Film Crews.
Participation of all traffic officers, SAPS officers, and the Department of Transport.

The above fee will not include the following:

Petrol, oil, tyres, and Race Car repairs.
Toll payments (We are currently negotiating a card system for all to use, thereby cancelling the fees).
Personal and Race Car insurances.
Medical insurance.
Incidental expenses.

Driver and navigator are to separately complete the attached form, in full.

Entry fees are only paid once, but any given racing team may wish to alternate drivers during the course of the event. This is extremely important! If we are to implement our 'Fireball Run 2004' with the utmost of confidence and level of professionalism, in keeping with all the expectations, this painful chore will have to be attended to.
The drivers and owner of the Race Car iare not required to submit the details of their race partner at this stage of planning, but will be requested to provide these details by no later than Thursday September 30 2004.
The sharing of hotel rooms is imperative, unless prior arrangements and additional bookings have been made. The organisers are currently negotiating extremely favourable rates.

Please refer to the rules and regulations which applied to the 'Lap of the South' run, under the direction of Jamie Vilela. They can be found at Lap of the South
There are three classes in which to position an entry.

They are:

Original OE Class - Executive.

Original OE Class - Specialist.

Team profile

Team Name:
Sponsor (Corporate branding)
Driver / Navigator.
Nickname:
First Name:
Surname:
Male / Female:
Identity Number:
Occupation:
Residential Address:



Postal Address:




Home Telephone (+Code):
Business Telephone (+Code):
Mobile Number:
Drivers Licence Number
(Proof of validity will be required before setting off on the event):
Do you have any Previous Skidpan
or High Speed Racing Experience?:
Insurance Policy Details:
Medical Aid Details:
Medical History and General Health:
Blood Group:
Allergies:
Religious Cuisine Preferences:

Closest Relative in Case of Emergency.

First Name:
Surname:
Contact Telephone Number, or Numbers:

Race Car Details.
Race Car Make:
Race Car Model:
Year of Manufacture:
Tyre Size and Make - Front:
Tyre Size and Make - Back:
Road Legal Registration Number of Race Car:
Any Special History:
Colour of Race Car
(This is exceptionally important, as we are to alter
the campaign logo sticker colours, to suit the
individual colour of your Race Car.
The logo will never change, but we will be
flexible on the colours used.
As one can imagine,
overall event presentation must be dynamic):

Send to:

Chalet B, 6 Glenluce Drive, Douglasdale.

PO Box 69466, Bryanston, 2021.

Telephone: +27 11 462 2111.

Facsimile: +27 11 704 2984.

E-mail: here

Dave Morgan 083 469 2111.
Sarel van der Merwe 082 775 2650

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