Andy Mort Tour 2021 - Internet Entry Form

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

Welcome to the 2300 Club ANDY MORT TOUR 2021 Online Entry system. Please follow the steps below to enter the event.

Complete all the fields in the form below.

The fields with red backgrounds are mandatory.

Once you have hit the "Enter Event" button at the end you will receive an automated response confirming we have received your entry form.

There is only ONE way to pay :-

BACS transfer direct to 2300 Club account the entry fee is £55 + £20 For every extra passenger in the car

BACS TRANSFER to :- HSBC BANK ACCOUNT :- 2300 CLUB LIMITED

SORT CODE :- 40-15-17 ACCOUNT NUMBER :-52015498

Please put the drivers name in the reference field,to enable us to identify who has paid.

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. If you don't receive a response within 7days of the expected payment date, or if you have any other questions, please e-mail the entries secretary at the address above.

Contact Infromation

E-Mail address for communication This must be filled in to continue

Contact Name This must be filled in to continue

Driver

Full Name This must be filled in to continue

Address This must be filled in to continue

Post Code This must be filled in to continue

Telephone Number This must be filled in to continue

Mobile Number This must be filled in to continue

E-Mail Address This must be filled in to continue

Date of Birth (if under 18 years of age)

Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Post Code

Telephone Number

Relationship

Competition Licence Number

Competition Licence Issuer

Co-Driver

Full Name This must be filled in to continue

Address This must be filled in to continue

Post Code This must be filled in to continue

Home Town This must be filled in to continue

Telephone Number This must be filled in to continue

Mobile Number This must be filled in to continue

E-Mail Address This must be filled in to continue

Date of Birth (If under 18 years of age)

Co-Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Post Code

Telephone Number

Relationship

Competition Licence Issuer

Car

Make This must be filled in to continue

Model This must be filled in to continue

Colour You cannot sign on until this is filled in

Registration Number You cannot sign on until this is filled in

Engine Capacity You cannot sign on until this is filled in

Year You cannot sign on until this is filled in

Person to be contacted in case of serious accident to Driver

Name This must be filled in to continue

Address This must be filled in to continue

Post Code This must be filled in to continue

Telephone Number This must be filled in to continue

Relationship This must be filled in to continue

Will this person be attending the event? This must be filled in to continue

Person to be contacted in case of serious accident to Co-Driver

Name This must be filled in to continue

Address This must be filled in to continue

Post Code This must be filled in to continue

Telephone Number This must be filled in to continue

Relationship This must be filled in to continue

Will this person be attending the event? This must be filled in to continue

ROUTE DEFINITION

PLEASE ENSURE YOU SELECT WHICH METHOD OF ROUTE DEFINITION YOU REQUIRE

SIX FIGURE MAP REFERENCES This must be filled in to continue

Yes

TULIP DIAGRAM ROAD BOOK This must be filled in to continue

Yes

Fees - Payment by BACS Only

Entry Fee

Club Membership

Extra passengers

Total Money to be sent

Extra passenger,

Name

Address

Post Code (if no extra passenger, please put Driver's Post Code) You cannot sign on until this is filled in

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.

Yes

The event is not currently open for entries