TJS Self Drive Alan Healy Memorial Rally 2017 Internet Entry Form

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

Welcome to the TJS Self Drive Alan Healy Memorial Cadwell Park Stages Rally 2017 Online Entry system

Please follow the steps below to enter 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. There are then two ways to pay
    1. 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 TSB
      Sort Code: 30-97-44
      Account No: 33200368
      Account Name: Border Motor Club Ltd
      Reference: Drivers Name
    2. You can send a cheque, made payable to 'Border Motor Club Ltd' to the Entries Secretary at the address shown below.
  4. Within 24 hours of us receiving the payment for your entry you should receive an e-mail confirming your entry from the Entries Secretary.
  5. If you don't receive a response within 3 days of the expected payment date, or if you have any other questions, please e-mail cadwellentries@bordermotorclub.co.uk

PLEASE NOTE: WITHOUT FULL PAYMENT YOUR ENTRY WILL NOT BE VALID.

Please send postal entries to:

Dennis Sanford
Tall Trees
323 Burton Road
Lincoln
LN1 3XD

Telephone 01522 541419
Mob 07803 672712
e-mail: cadwellentries@bordermotorclub.co.uk

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

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
Home Town
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Nationality
Driver Publicity
Hobbies
How Long Rallying?
Notable Results
Any other information
Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Co-Driver
Full Name
Address
Post Code
Home Town
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Nationality
Co-Driver Publicity
Hobbies
How Long Rallying?
Notable Results
Any other information
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
Year
Forced Induction
Four Wheel Drive
Class
In Car Camera Request
Sponsor
Sponsor Name (Note: this sponsor does not need an entrant's licence.
If you have an entrant with an entrant's licence,
please give details later.
Championships
ANCC Chonka MOT Stage Rally Championship 2017
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Jelf Motorsport.com Stage Rally Championship 2017
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Motorsport News Circuit Rally Championship in association with MSVR 2017
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Person to be contacted in case of serious accident to Driver
Name
Address
Post Code
Telephone Number
Relationship
Will this person be attending the event?
Person to be contacted in case of serious accident to Co-Driver
Name
Address
Post Code
Telephone Number
Relationship
Will this person be attending the event?
Seeding - Past Performance on Rallies
Event Name and ClubYearTypeSurfaceOverall PositionNo of Starters
Seeding - Competitor Opinion
Out of 90 entries, where do you think you should be seeded?
Scrutineering
When would you prefer to scrutineer? Saturday from 16.00 - 20.00
Sunday by appointment (First 30 cars) 07.00 - 08.30
Fees - see above for how to pay
Entry Fee £
Club Membership £
Total Money to be sent£
Payment Method and Details
Entrant (if applicable and not driver)
Name
Address
Post Code
Telephone Number
Competition Licence Number

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.

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.."

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