Stravaigers Lodge Rally Time Trial 2017 Internet Entry Form

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

Entries Close on Thursday 27th April 2017

Entries Secretary

Andy Jardine

16A Culcabock Road

Inverness

IV2 3XQ

         e-mail: andy@rallyalba.co.uk

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

Welcome to the Stravaigers Lodge Rally Time Trial Online Entry system. Please follow the steps below to enter the event.

  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.

There are then three ways to pay:-

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

Sort Code: 82-65-18 

Account No: 80290011

b.    You can send a cheque, made payable to the 'Highland Car Club' to the Entries Secretary at the address above.

c.     Credit Card Details can be given to the Entries Secretary by telephone 01463 232826. (£5 surcharge)

Please make sure you include your surname or entry receipt number as a reference with any payment

 

Payments should be made in time for the funds to be in our account by the 30th April 2017.
 

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
Driver
Full Name
Address
Post Code
Home Town
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Age if under 18
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
Double Entry
Service vehicle
Make
Model
Colour
Registration Number
Contact Name
Contact 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?
Seeding - Past Performance on Rallies
Event Name and ClubYearTypeSurfaceOverall Position
Fees - see above for how to pay
Entry Fee £
Credit Card Payment Surcharge£
Marshals Fund£
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 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."

Web Entries System provided by rallies.info