MEM Malton Forest Rally in Association with SORT Oils 2019 Internet Entry Form

Telephone: 07930 801459 

E-Mail: entries@maltonmc.co.uk
 

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

Welcome to the MEM Malton Forest Rally in Association with SORT Oils 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 then two ways to pay, please see below.
  4. You will then receive an accepted entry reference.

Ways to pay:

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

Bank Yorkshire Bank
Sort Code 05-05-70
Account No. 35346903
Account Name Malton Motor Club Events Ltd
Reference Drivers Full Name

You can also pay by Stripe, which is an instant online payment system - simply add in your card details and follow the instructons on line.

Document Addressing
E-Mail address for communication
Real Name of this person
Whom should we send Finals and Results to? Finals will only be sent by email.
Driver
Full Name
Address
Post Code
Home Town
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
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
E-Mail Address
Club
Co-Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Competition Car
Make
Model
Colour
Registration Number
Engine Capacity
Year
Forced Induction
Four Wheel Drive
Class
In Car Camera Request
Insurers
Name
Address
Service & Auxilary Support Vehicles
Sevice Vehicle - Make, Model & Colour
Registration Number
Auxiliary Vehicle - Make, Model & Colour
Registration Number
Contact Name
Contact Number
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
Northern Historic Rally Championship
Crew Members Registered
ANCC Stage Rally Championship
Crew Members Registered
ANECC Stage Rally Championship
Crew Members Registered
ANEMMC Stage Rally Championship
Crew Members Registered
EMAMC Stage Rally Championship
Crew Members Registered
SD34 Stage Rally Championship
Crew Members Registered
SD34 Inter Club League
Crew Members Registered
Person to be contacted in case of serious accident to Driver
Name
Address
Post Code
Mobile 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
Mobile Telephone Number
Relationship
Will this person be attending the event?
Seeding - Past Performance on Rallies
Event NameYearTypeSurfaceOverall PositionNo of Starters
Seeding - Competitor Opinion
Out of 50 entries, where do you think you should be seeded?
Scrutineering
Would you like to book Sunday scrutineering? Sunday Morning Scrutiny
Fees - see above for how to pay
Entry Fee £
Membership to MMC (Expires 31st December) £
Insurance £
Donation to the Marshals£
Auxiliary Car Pack£
Total Money to be sent£
Marshal Details
Name
Telephone Number
Mobile Number
Email Address
Experience
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 the Event Videographer / Photographer 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.

This field is not editable in this version of the system

Web Entries System provided by rallies.info