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The AutoMark Farrington Trophy Rally 2019 Internet Entry Form

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

Welcome to The AutoMark Farrington Trophy Road Rally
To be held on 16th / 17th November 2017

Entries Secretary:
Andy Darlington, 5 Henblas, Mold, Flintshire. CH7 1UZ
Mob: 07930 393598
E-mail: entrysec@farrington.cvmc.org.uk

The meeting will be governed by the General Regulations of the Motorsport UK (incorporating the International Sporting Code of the FIA) and the Supplementary Regulations.

Entry Fee: £95.00

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 "Agree to the declaration and Enter the Rally" button at the end you will receive an automated response confirming that we have received your entry form. If you do not get an automatically generated email then please contact Andy Darlington for advice.

There are two ways to pay for your entry; Bank Transfer or Cheque.

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

Bank: HSBC
Sort Code: 40-19-12
Account No.: 21304909
Account Name: Clwyd Vale Motor Club
Reference: Your FULL Name & Ref No. (If known)

2. Or you can send a cheque to the Entries Secretary at the above address, made payable to 'Clwyd Vale Motor Club'.
(NO post-dated cheques please because they are banked on receipt)

PLEASE NOTE: If payment is being made by cheque, your entry will be reserved for 96 hours (4 days) pending our receipt of your payment. Your entry will be confirmed upon cheque clearance (This should be 3-5 days after cheque is banked). If payment is being made by BACS (Bank Transfer) then your entry will be confirmed as soon as funds are confirmed as received. (This SHOULD be pretty immediate, although, in some instances, BACS transfers can possibly take as much as 10 working days to clear).
Within 48 hours of us receiving the cleared payment for your entry you should receive an e-mail confirming your entry from the Entries Secretary.
WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID.

Document Addressing
E-Mail address for communication
Real Name of this person
To whom should we send Finals and Results?
Driver
Full Name
Address
Post Code
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Driver's Parent or Guardian (under 18's only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Navigator
Full Name
Address
Post Code
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Navigator's Parent or Guardian (under 18's only)
Name
Address (if different)
Post Code
Telephone Number
Relationship

Vehicle Details and Class Entered

Make
Model
Colour
Registration Number
Engine Capacity
Class
Insurance Details
Own Insurance or Jelf, as applicable
Own Insurance Company Address
Championships
ANWCC Road Rally Championship(s)
Crew Members Registered
Driver Championship Registration Number
Navigator Championship Registration Number
SD34 Motorsport Group Championship(s)
Crew Members Registered
Driver Championship Registration Number
Navigator Championship Registration Number
Driver Next of Kin
Name
Address
Post Code
Telephone Number
Relationship
Will this person be attending the event?
Navigator Next of Kin
Name
Address
Post Code
Telephone Number
Relationship
Will this person be attending the event?
Seeding Information - Last 5 years best results and include DNF's if appropriate
Event Name, Organising Club and Start NumberYearTypeOverall Position

Class Position

Fees - see above for how to pay
Entry Fee £
Clwyd Vale MC Membership £
Insurance £
Total Money to be sent£
Payment Method
Marshal Details
Name
Address
Post Code
Telephone Number
Mobile Number
Email Address
Experience (Highest)
Comments
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, including providing a public Entry List and sending you emails in connection with your entry. Some of your information will be passed on to the organisation providing 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.

We would also like to be allowed to pass on your Name, Address, Post Code and email addresses to [INSERT VIDEO COMPANY HERE] and [INSERT PHOTO COMPANY HERE] so that they can contact you with a view to offering you videos and photos of you on the event. If you are happy to allow us to do this, please say so here.

The event is not currently open for entries

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