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Legend Fires North West Stages 2017 Internet Entry Form

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

Entries Close for seeding on Thursday 11th February 2017 at 18.00 however will remain open until Thursday 16th February 2017.

Entries Secretary - Ann McCormack, 99 Marina Village, Preston Brook, Nr Runcorn, Cheshire, WA7 3BH (M) 07961 086 280 (E) entries@nwstages.co.uk   

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

Welcome to the Legend Fires North West Stages 2017 Online Entry system.

Please follow the steps below to enter the rally.Complete all the fields in the form below. The fields with red backgrounds are mandatory.

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.

The entry fee is £430 up to 16th February 2017 payable either in full or in two instalments of an intial deposit of £100.00 dated as entry form and the second cheque to be dated 15th February 2017 for the balance of the total fees, after the 15th February 2017 the entry fee is payable in full only. Paypal will have a 4% surcharge. 

  1. If you wish to BAC'S Payment details below     PLEASE PUT YOUR NAME AS REFERENCE 
    Account:- Motorsport North West Ltd.
    Sort Code:- 16 22 27
    Account Number:- 10052940
     
  2. 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. 
    Please remember, your entry is NOT accepted until we receive minimum payment  of £100 (any paid entries received after your entry will be given a guaranteed place prior to yours and you will lose your place in the queue).
     
  3. 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@nwstages.co.uk

For payment, please either pay via PayPal after clicking on Submit at the end of this form, BACs or send a cheque payable to "Motor Sport (North West)" to address above.

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.

If you are a First Time Multi Venue competitor, Motor Sport (North West) will pay your insurance for road cover only - please add this in the comments box at the bottom of the entry form.

Document Addressing
E-Mail address for communication
Real Name of this person
Whom should we send Finals and Results to?
How would you like to receive Finals and Results?
Driver
Full Name
Address
Post Code
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Date of Birth
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
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Date of Birth
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
Forced Induction
Class
In Car Camera Request
Insurers
Name
Address
Service Vehicle
Make
Model
Colour
Registration Number
Contact Name
Contact Number
Management Vehicle
Make
Model
Colour
Registration Number
Contact Name
Contact Number
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 Stage Rally Championships 2017
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
ANWCC Stage Rally and All- Rounders Championship 2017
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
North of England Rally Championship 2017
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
SD34 Stage Rally Championship/Individual Championship 2017
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
AFRT
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Novice as defined as H35.1.4
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
Mobile 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
Mobile Number
Relationship
Will this person be attending the event?

Seeding - Past Performance on Stage Rallies by Driver Only
We can only seed you on the information you supply - please give as much detail as possible.

Event Name and ClubYearTypeSurfaceOverall Position

Class Position

Seeding - Competitor Opinion
Out of 100 entries, where do you think you should be seeded?
Fees - see above for how to pay
Entry Fee £
Club Membership £
Insurance £
Management Pack£
Marshal Fund£
Charity Donation£
Motorhomes / Caravans - Service Area (Does not allow user for overnight sleeping accommodation)£
Transponder Deposit£
Total Money to be sent£
Payment Method and Details
Entrant (if applicable and not driver)
Name
Address
Post Code
Telephone Number
Competition Licence Number
Competition Licence Issuer
Comments
Anything else you'd like to tell us

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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