Rally Marketing Epynt Stages 2019 Internet Entry Form

Welcome to the online entry system for the Rally Marketing Epynt Stages on the 25th August 2019

Held under the General Regulations of the Motorsport UK (incorporating the International Sporting Code of the FIA) and the Supplementary Regulations.

Please ensure you have read the Supplementary Regulations prior to entering the event, these can be found at www.epyntmc.co.uk

Entries Close for seeding at 21.00hrs on Sunday 11th August 2019.

Entries will close finally at 21:00hrs on the 21nd August 2019.

Please follow the steps below to enter the rally.

Complete all the fields in the form below. The fields with red backgrounds are mandatory and 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 but send them as soon as you do.

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.

Acceptance emails may take up to 72 hours – please give the Entry Secretary time to process your entry and payment.  

There are then two ways to pay:

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

Bank

NatWest, Aberystwyth

Sort Code

52-10-27

Account No.

08019320

Account Name

Old Forge Garage Mewla Rally

Reference

Please use Driver's full name

 

Please make Cheques payable to ‘Old Forge Garage Mewla Rally’ and post to the Entries Secretary at the address below. No Cheque entries will be accepted after 13th August 2019. Post-dated cheques are not accepted.   

If you wish to use REIS insurance, payment must be made with the entry fee. If you are unable to comply with all points of REIS Insurance Declaration, and letter of acceptance is issued, any loadings must be paid for at signing on with cash only.

PLEASE NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE ACCEPTED

When we have received payment you should receive an e-mail confirming your entry. If you pay by cheque it might take up to 14 days for it to clear. If you don't receive a response within 3 days of the expected payment date, or if you have any other questions, please contact the Entries Secretary.

 

Entries Secretaries: 

Debbie Palmer  

17 Lon Cwm, Llandrindod Wells, Powys LD1 6BE

Email: mewlaentries@hotmail.com

Tel:      07541855716       

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
Mobile Number
Competition Licence Number
Competition Licence Issuer
E-Mail Address
Club
Date of Birth
Nationality
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
Date of Birth
Nationality
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
Class
In Car Camera Request
Insurers
Name
Address
Person to be contacted in case of serious accident to Driver
Name
Address
Post Code
Telephone Number (That they can be contacted on during the event)
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 (That they can be contacted on during the event)
Relationship
Will this person be attending the event?
Seeding - Past Performance on Rallies
Event Name and ClubYearTypeOverall PositionNo of Starters
Seeding - Competitor Opinion
Out of 40 entries, where do you think you should be seeded?
Scrutineering
Fees - see above for how to pay
Entry Fee £
Club Membership £
Insurance £
Total Money to be sent£
Payment Method and Details
Entrant (if applicable and not driver)
Name
Address
Post Code
Competition Licence Number
Competition Licence Issuer

Introduce a Marshal

We are always looking for new marshals, if you know anyone interested please leave thier name and number below, and our Chief Marshal will give them a ring. Please let them know first!
Name
Telephone Number
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 attending media teams 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 consent to the organising committee using the information I have given for the purpose of displaying relevant details on an entry list to be made available to the public via written and electronic means, and for mailings to promote future editions of the Mewla Rally.  The information provided will be treated in confidence and will be held in compliance with the Data Protection Act 1998.  Crews personal details will be shared with members of the Rally and EMC Committees and address labels/e-mail addresses provided to the Media Officer and Official Photographers/Media of the event for the purposes of distributing Press Releases and advertising their services.  I understand you cannot verify that the Official Photographers/Media will not share such information with other organisations or individuals.
 
Motorsport UK INDEMNITY 

Held under the General Regulations of the Royal Automobile Club Motor Sports Association Ltd (MSA) (incorporating the provisions of the International Sporting Code of the FIA) these Supplementary Regulations and any written instructions the Club may issue for the Event.

I declare that:-

 

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