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               VARA GROUP1 APPLICATION                 
                                                                                                                           
Owner       Name___________________________ Date_________  Phone day___________ eve____________  
 Info:          Address_______________________________  City__________ State__ ZIP______  
                   E‐mail_______________________________________________ 
 
                   Make_____________________ Model____________________ Year______ Color_______________               
 Car:           Current Class_________  Car Number_______ Car weight_______ actual‐estimate   
                    Wheel size (F)_________ (R)_________    Tire size (F)______________ (R)____________________ 
                    Previous track time_____________ Track____________ 
 
                    Original manufacturer_______________ Actual displacement______ Bore______Stroke_________ 
                    Original carb(s)___(Yes‐No) Make _______________#___Size_______  Manifold type___________ 
                    Original type cyl. Head ___(Y)____(No)*explain__________________________________________ 
                    Original type valve train (rocker arms and nuts etc)____(Y)___ (No)*explain___________________ 
Engine       Original or O.E.M.  duplicate pistons____(Y)_____(N)*explain_______________________________ 
  Info:         Original type camshaft    ___ (Y) ___(N)*explain__________________________________________ 
                    Original material rods and crankshaft ____(Y)____(N)*explain______________________________  
                    Original type ignition distributor ___(Y)____(N)* explain___________________________________ 
                    Functional alternator/generator with belt ____(Y)____(N) 
                    Actual compression ratio of engine_______________ 
                    Explain any “(N)” no answers and any/all motor modifications:______________________________ 
                    _________________________________________________________________________________ 
Gear           Original (O.E.M.) case for year of car____(Y)____(N) 
Box              Internal gears original (O.E.M.)   ____(Y) ____(N) 
Trans:         Gear ratios as came in/available for year of car ____(Y)____(N) 
                    Explain any (N) answers_____________________________________________________________ 
Susp‐          As original____(Y)____(N) 
ension:       Any spherical rod ends or spherical bearings_____(Y)____(N) 
                    Deviation from factory pick up points____(Y)____(N) 
Diff             Original/OEM____ Y/N   Limited slip____Y/N   Locked____Y/N 
Rear :         Explain any N answers______________________________________________________________ 
Brakes:      Original O.E.M. __(Y)__(N)  Disc or drum: Front___ Rotor diam.____    Rear____ diameter_______ 
Body‐         Exterior appearance as original____(Y)___(N)       Original dash___(Y)___(N)        Grill___(Y)___(N) 
Interior     Front or rear spoiler___ All body panels original design and material_________________________ 
                    Side door panels and interior original_____ Window glass_______ Lexan (plastic)______________ 
                    List any body or interior modifications_________________________________________________ 
                   ________________________________________________________________________________   
 
 I CERTIFY THAT THE INFORMATION ABOVE IS TRUE AND ACCURATE. ____________________driver/owner   
      Fill out this form completely and mail to Phil Mendelovitz, Group 1 Class representative                  
                                                                               4940 Palomar Drive   Tarzana, CA 91356      (818)390‐1234  
form G1‐V.2‐10‐08                             

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