Harold Palin Memorial Stages October 4th 2020 Internet Entry Form

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

Welcome to the Harold Palin Memorial on line Entries

Entries Close for seeding at 12.00 on Monday 21th September 2020
 

Secretary: Sandra Hickling

18 Philip Ave,Nuthall,Nottinghamshire, NG16 1EA

Telephone 0115 9384601 (Evenings before 9.30pm Only)

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

 

Online Entry system.

Please follow the steps below to enter the rally.

  1. Complete all the fields in the form below. ALL fields are mandatory and must be filled in NO tbc .
  2. We reserve the right to reject entries submitted with MISSING information, .
  3. 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 on the entries system.
  4. When your entry has been checked you will receve a further email with a receipt number. this is an aknowledement we have checked it, but is NOT an acceptance of your entry.
  5. Your entry will only be classed as an accepted entry upon receipt of the FULL entry fee .
  6. We will not enter in to any discussions regarding when funds were submitted it is when your entry fee arrives in our accout that matters.
  7. Payment is to be made by internet or telephone banking, you can arrange for the fees to be paid directly into our account.
  8. The entry fee is £270 and to be payed when your entry is made

The Bank account

Bank

details are:

 Yorkshire Bank
Sort Code  05.0642
Account No.  48969415
Account Name Eastwood & District Motor Club ltd Stages account
Reference Driver's First name and Surname

 

  1. Following receiving the payment for your entry you should receive an e-mail confirming your entry from the entries Secretary.
  2. If you have any other questions,please e-mail:.sandra.hickling3@btinternet.com 
  3. Entries  are only secured by receipt of a FULLY PAID enty fee untill the enty fee is receved your status is Acknowledged and a run is not garenteed

ENTRY SUBMISSIONS WITH MISSING INFORMATION WILL NOT BE EXEPTED

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
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
Competition Licence 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.
Championships
Wemix Concrete LTD EMAMC Stage Rally Championship
Crew Members Registered



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 with out this information YOU WILL NOT BE SEEDED
Event Name and ClubYearpermit typeSurfaceOverall PositionClass position
Seeding - Competitor Opinion
Out of 60 entries, where do you think you should be seeded?
Scrutineering is by on line declataion
Fees - see above for how to pay
Entry Fee
£270 		£
The Alzheimer's Society£
Total Money to be sent£
Payment Method and Details
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 [IAN MADDISON:  VIDEO ] and [KEVIN MONEY ] 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.

The event is not currently open for entries

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