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  INFORMATION REQUEST FORM 

This Form is NOT Currently Operating 
For information about NZV8 Hot Laps and booking requests
please email direct to stuart.roddick@holden-driving.co.nz 
Or phone us direct on: (0800) 374831 or (027) 2813383


Contact Information
Fields marked by *** are required to be completed

Name ***
Company / Private ***
Postal Address ***
City ***
Phone ***
E-mail ***
Preferred Venue: ***

Preferred Date: ***
(refer to our schedule)

Hot Laps Options: ***

Information required about...
OR    
My request is... ***
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Other:

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