Form Crf-01 - Car Registration Form - Historic Motor Sports Association
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1
2CAR REGISTRATION FORM
PLEASE SEND PHOTO OF EACH CAR
Member Name:___________________________________
HMSA#: ____________
HMSA Class: _______________
Make: _________________________________
Type:______________________________
Rdst/Cpe: ___________
Year: _________________
Chassis #: _______________
Color: __________________
Weight________________
Engine Make/Year MFG.: _______________________________
Type/No. CYL.: _________
Disp. CC.:___________
Horsepower: ___________
Max RPM: __________
No. & Type Carburetors: ________________________________
Fuel Inj:_______________
Supercharger:________
Dry Sump: ___________________________________________
Brakes Make/Year MFG.: _____________________________
Type (Disc/Drum): ______________________________
Transmission Make/Year MFG.: _______________________________________________________________________
Wheel Size (Diam/Width): Front: _______________________________
Rear: ________________________________
Has offset been changed? Explain: ____________________________________________________________________
TIRE INFORMATION (As indicated on side of tire)
Front:
Rear:
Make/Model:_____________________________________
_______________________________________________
Size/Rating (VR, SR, L) ____________________________
_______________________________________________
Tread Width: _____________________________________
_______________________________________________
CAR HISTORY: ____________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Date to be used as the “POINT IN TIME” to which this car is restored: _____________________
If you intend to enter this car in race events please answer the following:
SAFETY EQUIPMENT:
Does this car have the following safety equipment?
Roll Bar: _____________________________
Installed by you/previous owner/other: ___________________________
If the answer is NO, explain: __________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
CRF-01 (4/2002) Ω
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