Eckington Interclub 2019 Internet Entry Form

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

Online Competition and Camping Entries Close Monday 19th August 2019 20:00
Entries will be accepted after closing of online booking, up to an hour before the start of an event, but these may be subject to an administrative surcharge of £10:00

Site opens 9:00 AM on Friday, 23rd August 2019
Site closes 12 noon, Tuesday 27th August 2019

Eckington Interclub Bookings
84 Barnes Avenue
Dronfield Woodhouse
Dronfield
S18 8YG

Telephone 07850 446455

Held under the General Regulations of the Motor Sports Association, the Association Of Land Rover Clubs and it's Supplementary Regulations and the Supplementary Regulations of Peak & Dukeries Land Rover Club

Welcome to the Eckington Interclub Rally 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.

There are then three ways to pay

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. No surcharge will be applied to Card and Paypal entries. Note that we do not see your card details at all, this is all handled for us by Paypal.

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

Bank	HSBC
Sort Code	40-45-29
Account No.	61205080
Account Name	Peak & Dukeries LRC (1983) Ltd
Reference	Driver's full name.

Please notify the Entries Secretary at PandD.Entries@gmail.com when you have effected the transfer

You can send a cheque, made payable to Peak & Dukeries LRC (1983) Ltd, to the Entries Secretary at the address above

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.
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 PandD.Entries@gmail.com
Refunds: a 20% fee will apply to all refunds, even if the event is cancelled. Individual refunds will be discretionary.
Double or triple entries (RTV & CCV) only; you will need to complete an online application for each driver, indicating it is a double entry and the name of the other person.
TYRO entries will be permitted on the day of the event.
The prices apply to pre-booked entries. Entries may be accepted on the day but may be subject to a £10.00 surcharge.

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 for which you do not know the details.

Booking Details
E-Mail address for communication
Name of person making booking
Booking details
Name of competitor
Address
Post Code
Home Town
Telephone Number
Mobile Number
E-Mail Address
Club	101 Forward control Anglian Land Rover Club Aylesbury LR Fanatics Breckland LRC Cheltenham and Cotswold LRC Chiltern Vale LRC Cornwall & Devon LRC Cumbrian ROC Discovery Owners CLub Dorset LRC Dunsfold Collection East Northants LRC Essex LRC Hants and Berks LRC Lancs & Cheshire LRC Land Rover Register Land Rover Series 1 Club Land Rover Series 11 Club Leics & Rutland LRC Lightweight LRC Lincs LRC Liverpool LROC Merseyside LROC Midland ROC Newcastle & Nantwich ROC North Eastern ROC North Wales LROC Nottingham LROC Peak & Dukeries LRC Red Rose LRC Scottish LROC Somerset & Wilts LROC South Coast ROC Southern ROC Staffs & Shrops LRC Wye & Welsh LRC Yorkshire LROC Anglian Rover Owners Club* All Wheel Drive Club* Buxton & District LRC* British Army MSA* East Midlands ORC* Glossop 4x4 Group* Midland ORC* Northern ORC* Peak & Dukeries ORC* Pennine LRC* Staffs & Shrops ORC* Overseas Club
Membership number

Main tow vehicle
Registration Number
RTV Details
Class	1. Standard Leaf up to 84 2. Standard Leaf 84 to 90 3. Standard Leaf Over 90 4. Standard Coil upto 95 5. Standard Coil over 95 6. Modified Leaf upto 84 7. Modified Leaf 84 to 90 8. Modified leaf over 90 9. Modified Coil up to 84 10. Modified Coil 84 to 95 11. Modified Coil over 95 Non ALRC I do not know my class
Double entry with
CCV Details
CCV Class	1. Standard Leaf up to 84 2. Standard Leaf 84 to 90 3. Standard Leaf over 90 4. Standard Coil up to 95 5. Standard Coil over 95 6. Modified Leaf up to 84 7. Modified Leaf 84 to 90 8. Modified Leaf over 90 9. Modified Coil up to 84 10. Modfied Coil 84 to 95 11. Modified Coil over 95 Non ALRC I don't know my class
Double entry with
Are you age 50 or over?	Yes No
Are you under 24?	No Yes
Comp details
Class	1. Standard Leaf upto 2L petrol or 2.3 Diesel 2. Standard Leaf 2L-2.5l petrol or 2.5l diesel 3. Standard 90 petrol or non-turbo diesel 4. Standard SWB with turbo diesel 5. Standard LWB coil 6. Modified leaf up to 3000cc 7. Modified Leaf above 3000cc 8. Modified Coil up to 3600cc 9. Modified Coil over 3600cc Non ALRC I do not know my class
MSA Licence Number
Are you entering night and day comps?	Not entering Night comp entry Day comp entry Both night and day comp entries
Regular running/comp number?
Tyro details
Double entry with (name)
Bike Trial
Names & Age for Bike trial
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?
Fees - see above for how to pay
Camping Pitch	£
CCV entry	£
RTV Entry	£
Night Comp Entry	£
Day Comp entry	£
TYRO	£
Total Money to be sent	£
Payment Method and Details	Cheque in the post Paypal Bank card (through PayPal) Bank transfer. Please notify Entries Secretary by email when paid Cash to P&D Treasurer/Entries Secretary
Comments
Can you, or any one with you, help with marshalling? Marshals are always needed, can you help, please? If so please let our Chief Marshal, Pat Lockwood know. at email: PatTonyLockwood@gmail.com Anything else you'd like to tell us?
Privacy and Permissions
We take your privacy seriously and will only use your personal information to administer your entry and sending you emails in connection with your entry. Some of your information will be used by Peak & Dukeries LRC to provide results for the event.
We would also like to be allowed to contact you in the future to tell you about other events which we are running, including this event in future years. If you are happy to allow us to do this, please say so here.	No Yes
We will not share your information with external organisations, such as photographers or video makers.	No Yes

The event is not currently open for entries

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