Berwick Classic Rally 2017 Internet Entry Form

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

 

 

 

Entries Close for seeding on 19th April at 9pm

Entries Secretary: David Malthouse

3 Fenton Grange

Wooler

Northumberland

NE716AW


Telephone : 07881363911
e-mail david.malthouse@berwickclassicrally.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 Berwick Classic 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 Barclays Bank
      Sort Code 20-58-17
      Account No. 40213462
      Account Name Berwick and District Motor Club Ltd
      Reference

      Driver's full name and Receipt No

       

       

    2. You can send a cheque made payable to Berwick and District Motor Club Ltd' to the Entries Secretary at the address above quoteing your Receipt Number 
  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. NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID.
  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 David Malthouse at david.malthouse@berwickclassicrally.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.

 

 

 

Document Addressing
E-Mail address for communication
Name of this person
Driver
Full Name
Address
Post Code
Telephone Number
Mobile Number
E-Mail Address
Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Navigator
Full Name
Address
Post Code
Telephone Number
Mobile Number
E-Mail Address
Navigator's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Car
Make
Model
Colour
Registration Number
Engine Capacity
Expert or Novice
MSA Regulation R 18.2 Please indicate if your car was built between 1/1/1968 and 31/12/ 1985 and has
More than four cylinders OR
More than one camshaft OR
More than two carburettor chokes
Class
Insurers
Name
Address
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 Navigator
Name
Address
Post Code
Telephone Number
Relationship
Will this person be attending the event?
Fees - see above for how to pay
Entry Fee £
Berwick and District Motor Club Membership £
Own / REIS Insurance £
Driver Polo S£
Driver Polo M£
Driver Polo L£
Driver Polo XL£
Driver Polo XXL£
Nav Polo S£
Nav Polo M£
Nav Polo L£
Nav Polo XL£
Marshals meal ticket£
Total Money to be sent£
Payment Method

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 Event" 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