THE ND CIVILS Ltd Lee Holland Memorial Rally 2021 - Internet Entry Form

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

THE ND CIVILS Ltd Lee Holland Memorial Rally March 07th 2021

www.pendledistrictmc.co.uk

Welcome to the ND CIVILS Ltd Lee Holland Memorial Stages March 07th 2021

With a number of firsts for the event we are sure you will really enjoy this years rally.We aim to carry on and once again hopefully be the event of the championship for the coming season

Pendle District & Garstang &Preston Motor Clubs Club together with being round 6 of the excting Motorsport News Circuit Rally Championship in a/w MSVR,

PLEASE NOTE, WITH THE CURRENT UNCERTAINTY GENERATED BY THE COVID-19 PANDEMIC, THE CLUBS HAVE DECIDED NOT TO TAKE ANY FEES UNTIL NEARER TO THE EVENT. PLEASE DO NOT SEND ANY BACS TRANSFERS UNTIL REQUESTED TO DO SO, PLEASE READ THE REGULATIONS !!!

Entries Open 14th January 2021 @ 19.00 at £295.00

Entries Close for seeding on 25th JUNE 2021 @ 12.00

Entry Tickets posted to fully paid entries on or around 28th JUNE 2021

** NOTE **

Entries SECRETARY:-

Rod Brereton

2 Parkside

Sough

Barnoldswick

BB18 6TA

Telephone 01282 843297 OR 07952377880 (Between 19:00 and 21:00)

e-mail: pdmc@clara.co.uk

Held under the General Regulations of the MotorSports UK .Ltd. (incorporating the International Sporting Code of the FISA) and the Supplementary Regulations

Welcome to the " NDCIVILS Ltd Lee Holland Memorial Stages March 07th 2021 " Online Entry system. Please follow the steps below to enter the rally.

Complete all the fields in the form below. The fields with red backgrounds are mandatory.
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.
Payments -
PLEASE NOTE WE ARE ONLY ACCEPTING BACS PAYMENTS ON THIS EVENT
If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account. The details will be forwarded to you by the entries secretary when payment is due.
Within 24 hours of us receiving the payment for your entry you should receive an e-mail confirming your entry from the Entries Secretary.
PLEASE NOTE, WITH THE CURRENT UNCERTAINTY GENERATED BY THE COVID-19 PANDEMIC, THE CLUBS HAVE DECIDED NOT TO TAKE ANY FEES UNTIL NEARER TO THE EVENT. PLEASE DO NOT SEND ANY BACS TRANSFERS UNTIL REQUESTED TO DO SO, PLEASE READ THE REGULATIONS !!!
If you don't receive a response within 5 days of the expected payment date, or if you have any other questions, please e-mail pdmc@clara.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 and, as soon as these details are known, please update them via the system

Document Addressing

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

Real Name of this person This must be filled in to continue

Whom should we send final instructions and entry tickets to? This must be filled in to continue

Driver

Co-Driver

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 You cannot sign on until this is filled in

Telephone Number This must be filled in to continue

Mobile Number This must be filled in to continue

Competition Licence Number This must be filled in to continue

Competition Licence Issuer

E-Mail Address This must be filled in to continue

Club(If no club is entered in here it is assumed you will require membership of PDMC or GPMC) You cannot sign on until this is filled in

Club Membership No You cannot sign on until this is filled in

Nationality

Helmet Make You cannot sign on until this is filled in

Helmet Model You cannot sign on until this is filled in

Helmet Approval Standard (per K10.3.1) You cannot sign on until this is filled in

FHR Make You cannot sign on until this is filled in

FHR Model You cannot sign on until this is filled in

FHR Approval Standard (per K10.3.1) You cannot sign on until this is filled in

Driver Publicity

Hobbies

Married?

No of Children

How Long Rallying?

Notable Results

Any other information

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

Competition Licence Number This must be filled in to continue

Competition Licence Issuer

E-Mail Address This must be filled in to continue

Club (If no club is entered in here it is assumed you will require membership of PDMC or GPMC) You cannot sign on until this is filled in

Club Membership No You cannot sign on until this is filled in

Helmet Make You cannot sign on until this is filled in

Helmet Model You cannot sign on until this is filled in

Helmet Approval Standard (per K10.3.1) You cannot sign on until this is filled in

FHR Make You cannot sign on until this is filled in

FHR Model You cannot sign on until this is filled in

FHR Approval Standard (per K10.3.1) You cannot sign on until this is filled in

Co-Driver Publicity

Hobbies

Married?

No of Children

How Long Rallying?

Notable Results

Any other information

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

Name

Address (if different)

Post Code

Telephone Number

Relationship

Competition Licence Issuer

Car Seats and Harnesses

Left Harness FIA Homologation Expiry Date You cannot sign on until this is filled in

Right Harness FIA Homologation Expiry Date You cannot sign on until this is filled in

Left Seat FIA Homologation Expiry Date You cannot sign on until this is filled in

Right Seat FIA Homologation Expiry Date You cannot sign on until this is filled in

Car Fire Extinguishers

Hand-held fire extinguisher make You cannot sign on until this is filled in

Hand-held fire extinguisher capacity You cannot sign on until this is filled in

Hand-held fire extinguisher last service date You cannot sign on until this is filled in

Plumbed-in fire extinguisher make You cannot sign on until this is filled in

Plumbed-in fire extinguisher capacity You cannot sign on until this is filled in

Plumbed-in fire extinguisher last service date You cannot sign on until this is filled in

First Service Crew

Contact Name

Contact Number

Second Service Crew

Contact Name

Contact Number

Third Service Crew

Make

Model

Colour

Registration Number

Contact Name

Contact Number

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.