Paintworx AGBO Stages 2017 Internet Entry Form

Entries to this event are now closed and this page is for record only

 

THIS EVENT IS NOW FULL WITH IN EXCESS OF 25 RESERVES

Entries Secretary:

Clare Bird

29 Park View Road

Four Oaks

Sutton Coldfield

West Midlands

B74 4PR

07837212015

agbostagesrally@hotmail.co.uk

 Held under the General Regulations of the Motor Sports Association (incorporating the International Sporting Code of the FISA) and the Supplementary Regulations

Welcome to the Paintworx AGBO Stages Rally online entry system. Please follow the steps below to enter the rally.

Please be aware there are 18 places reserved for each of the Heart of England Championship and HRCR Old Stager/Mini Cup for two weeks from release of entry. You will only qualify for one of these places if you have registered for your respective championships before entering the rally.

  1. Complete all the fields in the form below. The fields with red backgrounds are mandatory.
  2. Once you have hit the "Enter the Rally" button at the end you will receive an automated response confirming we have received your entry form.
  3. Pay your entry fees via online bank transfer or cheque (please be aware paying by cheque will significantly delay your entry being accepted, possibly causing you to not gain an entry on the event)

If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account. The details are:

 

Bank

Lloyds Bank

Sort Code

30-90-82

Account No.

13225768

Account Name

Owen Motoring Club Ltd

Reference

Driver's full name

IBAN

GB17LOYD30908213225768

BIC

LOYDGB21573

 

You can send a cheque made payable to 'Owen Motoring Club Ltd' to the Entries Secretary at the address above.

4. Within 24 hours of us receiving the payment for your entry you should receive a formal e-mail confirmation stating your entry as accepted from the Entries Secretary. NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID.

5. If you don't receive a response within 7 days (THERE MAY BE LONGER DELAY WITHIN THE FIRST 5 DAYS OF ENTRIES GOING LIVE) of the expected payment date, or if you have any other questions, please e-mail agbostagesrally@hotmail.co.uk 

All the fields with a red background must be filled in, or you will not be able to continue. Please put TBA in any red field which you do not know the details for. Full driver and car details must be provided as a minimum.

Document Addressing
E-Mail address for communication
Real Name of this person
Whom should we send Finals and Results to?
Driver
Full Name
Address
Post Code
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Co-Driver
Full Name
Address
Post Code
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Co-Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Car
Make
Model
Colour
Registration Number
Engine Capacity
Class
Championships
The Heart of England Rally Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
HRCR Old Stager & Minisport Mini Cup
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Person to be contacted in case of emergency for Driver
Name
Address
Post Code
Telephone Number
Relationship
Will this person be attending the event?
Person to be contacted in case of emergency for Co-Driver
Name
Address
Post Code
Telephone Number
Relationship
Will this person be attending the event?
Seeding - Past Performance on Rallies (NO ROAD RALLIES)
Event Name and ClubYearTypeSurfaceOverall PositionNo of Starters
Seeding - Competitor Opinion
Out of 75 entries, where do you think you should be seeded?
Scrutineering
When would you like to scrutineer? (HRCR to scrutineer Saturday where possible) Saturday 11-3.30pm
Sunday 5.30am onwards
Fees - see above for how to pay
Entry Fee £
Club Membership £
Insurance £
Total Money to be sent£
Payment Method and Details

The details on this form will be held on computer in order to be used for the administration of this event. They will also be used to send you information about future events organised by this club, unless you untick this box to indicate you do not wish to receive information on further events.
The details on this form may also be passed on to other motorsport organisations, unless you untick this box to indicate you do not wish these details passed on.

Remember your entry is subject to receipt of the correct entry fee. An automated acknowledgement is NOT confirmation of entry. Rejected entries and entries held in abeyance will be informed by e-mail to the address(es) given above.

By clicking on the "Enter the Rally" button below you agree to the following: "I declare that I have been given the opportunity to read the General Regulations of the Motor Sports Association and, if any, the Supplementary Regulations for this event and agree to be bound by them. I declare that I am physically and mentally fit to take part in the event and I am competent to do so. I acknowledge that I understand the nature and type of the competition and the potential risk inherent with motor sport and agree to accept that risk. Further, I understand that all persons having any connection with the promotion and/or organisation and/or conduct of the event are insured against loss or injury caused through their negligence.."

 

Web Entries System provided by rallies.info