THE TILEMASTER ADHESIVES Lee Holland Memorial Rally 2019 Internet Entry Form

THE TILEMASTER ADHESIVES Lee Holland Memorial Rally March 17th  2019

www.pendledistrictmc.co.uk

  

Welcome to the 2019 TILEMASTERS ADHESIVES Lee Holland Memorial  Stages March  17th

With a number of firsts for the event and Pendle District & Garstang &Preston Motor Clubs Club together with being round 7 of the excting Motorsport News Circuit Rally Championship in a/w MSVR, we are sure you will really enjoy this years rally.

 

Entries Open 25th January 2019 @ 20:00 at  £290.00

Entries Close for seeding on 09th March 2019

Entry Tickets posted to fully paid entries- 10th March 2019

**  NOTE  **

Entries SECRETARY:-

Rod Brereton

2 Parkside

Sough

Barnoldswick

BB18 6TA


Telephone 01282 843297 OR 07952377880  (Between 19:00 and 21:00)

e-mail: pdmc@clara.co.uk

Held under the General Regulations of the MotorSports UK .Ltd. (incorporating the International Sporting Code of the FISA) and the Supplementary Regulations

Welcome to the " TILEMASTER ADHESIVES Lee Holland Memorial Stages March 17th 2019 " Online Entry system. Please follow the steps below to enter the rally.

  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.
  3. There are several ways to pay your entry
    1. Cheque (To the entry secretaries address payable to Lee Holland Memorial Rally)
    2. Cash (Delivery in person to the entry secretary)
    3. If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account. The details are:-
      Bank  Lloyds TSB
      Sort Code 77-76-05
      Account No. 46829260
      Account Name LEE HOLLAND RALLY
      Reference

      Drivers Full Name (Failure to provide this will delay your application)

    PLEASE NOTE WE ARE NOT ACCEPTING PAYPAL PAYMENTS ON THIS EVENT

  4. 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 (this includes reserves places).FULL PAYMENT MUST BE MADE WITHIN 5 DAYS OF RECIEPT OF ENTRY
  5. If you don't receive a response within 5 days of the expected payment date, or if you have any other questions, please e-mail  pdmc@clara.co.uk

 

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 and, as soon as these details are known, please email them to the entries ecretary.

Document Addressing
E-Mail address for communication
Real Name of this person
Whom should we send final instructions and entry tickets to?
Driver
Full Name
Address
Post Code
Home Town
Telephone Number
Mobile Number
Competition Licence Number
Competition Licence Issuer
E-Mail Address
Club(If no club is entered in here it is assumed you will require membership of PDMC or GPMC)
Nationality
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
Home Town
Telephone Number
Mobile Number
Competition Licence Number
Competition Licence Issuer
E-Mail Address
Club (If no club is entered in here it is assumed you will require membership of PDMC or GPMC)
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
Year
Forced Induction / Rotary
Four Wheel Drive
Class
In Car Camera Request
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
Motorsport News Circuit Rally Championship Competitor
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
MSN Rally Champ - Michelin Cup Competitor
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
MSN Rally Champ - Protyre Challenge Competitor
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
ANWCC Stage Rally Championsip Competitor
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
SD34 MSG Stage Rally Championship Competitor
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
Telephone 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
Telephone Number
Relationship
Will this person be attending the event?
Seeding - Past Performance on Rallies
Event Name and ClubYearTypeSurfaceOverall PositionNo of Starters
Seeding - Competitor Opinion
Out of 80 entries, where do you think you should be seeded?

Please use an exact number not a range.

Scrutineering
Saturday scrutineering is as the Final Instructions

 

 

Sunday morning scrutineering is STRICTLY by appointment and must be requested in writing to the entries secretary

Saturday
Sunday (By written appointment only places limited)
Fees - see above for how to pay
Entry Fee £
Club Membership (Please Select) £
Garage (allocated on first come first served basis - max 20 (single car units, available) + 5 reserves)

 

 

 

  • ALL GARAGES ARE HIRED OUT 

 

 

£
Total Money to be sent£
Payment Method and Details
Entrant (if applicable and not driver)
Name
Address
Post Code
Telephone Number
Nationality
Competition Licence Number
Competition Licence Issuer
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 [MAD VIDEO] and [DUNCAN LITTLER / STEVE McKENNA ] 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.

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 MotorSports UK Ltd.  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.."

If you have selected a garage you agree to be bound by the terms and conditions of use set out by Bordogan Estates (Anglesey Circuit) 

You also understand that Motorsport News Circuit Rally Competitors will be given priority of entry.

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