The Twyford AutoSolo/PCA 2019 Internet Entry Form

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

 Entries Close 20th October 2019 at 09:00

Lee Burgess

45 Lilac street

Hollingwood

Chestefield

Derbyshire

S43 2JB

Telephone: 07971 673222 Not after 9PM

E-Mail:twyfordsolo@mid-derbyshiremc.co.uk

Welcome to The LB Electrical contractors Twyford Autosolo and PCA 2019 Online Entry system.Held under the General Regulations of  Motorsports UK (incorporating the International Sporting Code of the FISA) and the Supplementary Regulations 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
    1. You can pay by Bank transfer Sort code 40-19-37 Account Number 81492926 Please put the Drivers Name and Car Registration as reference.
    2. You can send a cheque, made payable to 'Mid Derbyshire Motor Club' to the Entries Secretary at the address above.
  4. Within 48 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  twyfordsolo@mid-derbyshiremc.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 OR IN THE CASE OF CO DRIVER SECTION N/A IF YOU ARE NOT TAKING A PASSENGER.

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
E-Mail Address
Club
Date of Birth
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
E-Mail Address
Club
Date of Birth
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
Forced Induction
Four Wheel Drive
Class
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.
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?
Fees
Entry Fee  £
Club Membership £
Forestry Camping Charge£
Donation to D,L,R, Air Ambulance£
Reduction to entry for Marshalling the targa£
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
Marshal Details
Name
Address
Post Code
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 Andy Manston for Photography 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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