Mel Harries Memorial Road Rally 2019 Internet Entry Form

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

Mel Harries Memorial Road Rally 2019

sponsored by Derwydd Garage Llandybie Ltd

23rd & 24th November 2019

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

This entry will not be considered unless:

1. The form has been completed in all aspects
2. The full entry fee has been paid
3. The Declaration of Indemnity has been acknowledged

 Entries Close - Sunday 17th November 2019 - 21:00hrs

Contact details:

Entries Secretary:
Claire Williams

19 Betws Road

Ammanford

Carmarthenshire

SA18 2HE



Telephone: +44 (0)7817 091265 (18:00 to 21:00hrs only)
Email: ammanfordmotorclub@gmail.com

 

Welcome to the Mel Harries Memorial Road Rally 2019, sponsored by Derwydd Garage Llandybie Ltd 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
  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.
  5. 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 ammanfordmotorclub@gmail.com

Remember if you are under 21 and can't comply with JELF you need to let us know and complete an additional form

Document Addressing
E-Mail address for communication
Real Name of this person
Whom should we send Finals and Results to?
Driver
Full Name
Address
Post Code
Home Town
Telephone Number (Daytime)
Mobile Number
E-Mail Address
Date of Birth if 18 years or under
Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Navigator
Full Name
Address
Post Code
Home Town
Telephone Number (Daytime)
Mobile Number
E-Mail Address
Date of Birth if 18 years or under
Navigator's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Car
Make
Model
Colour
Registration Number
Engine Capacity
Under 1400
Mixed Crew
Class
Insurers
Name
Address
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 Navigator
Name
Address
Post Code
Telephone Number
Relationship
Will this person be attending the event?
Seeding -  Driver/Nav - Top 5 Performances each
Event Name and Driver/NavYearTypeClass EnteredOverall PositionClass Result
Seeding - Competitor Opinion
Out of 75 entries, where do you think you should be seeded?
Fees - see above for how to pay
Entry Fee £
Club Membership £
Insurance £
Total Money to be sent£
Payment Method and Details
Marshal Details
Name
Mobile Number
Email Address
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 photographer on the event so that they can contact you with a view to offering you 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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