Philip Paul Car Sales - Border 200 Rally 4/5/6 May 2018 Internet Entry Form

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

Document Addressing
E-Mail address for communication
Real Name of this person
Driver
Full Name
Address
Post Code
Mobile Number
Competition Licence Number
E-Mail Address
Club
Date of Birth
Driver Publicity
Hobbies
How Long Rallying?
Notable Results
Have you competed on a Road Rally Event prior to 1988? 
Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Co-Driver
Full Name
Address
Post Code
Mobile Number
Competition Licence Number
E-Mail Address
Club
Date of Birth
Co-Driver Publicity
Hobbies
How Long Rallying?
Notable Results
Have you competed on a Road Rally Event prior to 1988?
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

Class (Master / Expert / Semi-Expert / Novice)

Insurers
Name
Address
Person to be contacted in case of serious accident to Driver
Name
Telephone Number
Relationship
Will this person be attending the event?
Person to be contacted in case of serious accident to Co-Driver
Name
Telephone Number
Relationship
Will this person be attending the event?
Seeding - Past Performance on Rallies
Event Name and ClubYearTypeOverall Position
Fees
Entry Fee £
Club Membership £
Insurance £
Optional Donation to Border 200 Supported Charities£
Total Money to be sent£
Payment Method and Details - Bacs/bank transfer or Cheque - Details in regs
Marshal Details
Name
Mobile Number
Email Address
Experience

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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