Vrg Log Book Request Form (Page 2 of 2) in pdf

VRG LOG BOOK REQUEST FORM

Manufacturer__________________________Model________________Year of Manufacture __________

Manufacturer Serial No ___________________________________________________________________

Type (Prod.,Spt.Racer,Open Wheel) ________________________Color(s)_______________________

Body Material(s) ________________Engine Mfg._____________Serial No. _______________________

Bore ______________Stroke _______________Cyl. _______________Displacement _______________

Engine Induction ( type, make, number) __________________________________________________

Transmission ( type & manufacturer) _____________________________________________________

Wheel width : Front_______________________________Rear __________________________________

Wheel Diameter : Front___________________________Rear __________________________________

Tire Mfg._________________________Style____________________Size Marked___________________

Tire diameter (not the same as wheel diameter) Front _______________Rear _________________

Tire Tread Width: Front___________________________Rear__________________________________

Track: Front __________________Rear __________________Wheelbase ________________________

Does this vehicle currently have a Log Book with another VMC recognized Club(s) Y____N_____

List Club(s) _________________________________________________________________________

Note: This form must be filled out, be accompanied with two pictures of the car ( 3/4 front & 3/4

rear); signed and dated by both a VRG Technical Inspector and a VRG Technical Committee

delegate, and sent to the Log Book Officer.

Name __________________________________________________________________________________

Address ________________________________________________________________________________

City ___________________________ State ________ Zip ________ Phone _______________________

Email Address:__________________________________________________________________________

Any necessary changes to be made: _____________________________________________________

_______________________________________________________________________________________

Technical Insp. _____________________________________________________Date _______________

VRG Technical Committee Delegate_____________________________________________________

Vrg Log Book Request Form Page 2