The Brick & Steel Border Counties Rally BRC 2017 Internet Entry Form

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

Entries Close for seeding on the 7th March at 12 noon

Entries Secretary:

Sarah Murdie

30 Ashloaning

Denholm

Nr Hawick

Scottish Borders

TD9 8NW

Telephone - 01450 870859
Mobile - 07960 635 923

e-mail: entries@bordercountiesrally.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 Brick & Steel Border Counties 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 three ways to pay:-

    a.     If you would like to pay via credit or debit card, you will get a link at this point to take you to Paypal's website, where you can pay for your entry by card. Note that we do not see your card details at all,           this is all handled for us by Paypal.   Paying  by Paypal will incur a 4% fee, which is added on to the total due.

    b.     If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account.  Please refer to the regulations for details.  No additional charges for this method.  Please state         receipt number when paying.

    c.     You can send a cheque, or 2 cheques if paying in instalments, made payable to 'Border Counties Rally' to the Entries Secretary at the address above.

  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  entries@bordercountiesrally.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.

The details on this form will be held on computer in order to be used for the administration of this event.

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
Competition Licence Issuer
E-Mail Address
Club

Age if under 21

Disability OR are on Anti-Coagulant Therapy
Driver Publicity
Hobbies
Married?
No of Children
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
Competition Licence Issuer
E-Mail Address
Club

Age if under 21

Disability OR are on Anti-Cougulant Therapy
Co-Driver Publicity
Hobbies
Married?
No of Children
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
Insurers
Name
Address
Service vehicle
Make
Model
Colour
Registration Number
Contact Name
Contact Number
Reconnaissance Vehicle
Make
Model
Colour
Registration Number
Contact Name
Contact Number

Entrant

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
The Prestone MSA British Rally Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
The ARR Craib MSA Scottish Rally Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
The Ecosse Challenge
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
The S G Petch ANECCC Stage Rally Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
The Border Challenge
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
The Motoscope Northern Historic Championship
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 Position

Class Position

Seeding - Competitor Opinion
Out of  100 entries, where do you think you should be seeded?
Scrutineering
When would you prefer to scrutineer?
Please select 1 time.
Scrutineering 11:00 - 12:00
Scrutineering 12:00 - 13:00
Free Service Pack
Reconnaissance

Cheques - 

made payable to 'Border Counties Rally'

 

BACS - Please state receipt number when paying

Account Name - H & BCC No 2 B C Rally

Bank of Scotland, 7 High Street, Hawick, TD9 9DA

Sort Code - 80-16-22

Account Number - 00221068

 

Payment from overseas

IBAN:  GB13BOFS80162200221068

BIC:  BOFSGB21165

 

Entry Fee £
Club Membership £
Insurance £
Marshals Donation - Up to you£
Total Money to be sent£
Payment Method and Details
Entrant (if applicable and not driver)
Name
Address
Post Code
Telephone Number
Nationality
Competition Licence Number
Competition Licence Issuer

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."

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