Old Forge Garage Mewla Rally 2021

Welcome to the online entry system for the Old Forge Garage Mewla Rally on the 29^th August 2021

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

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. Orange fields must be completed before you can sign on to the event, but are not mandatory to entry the event.

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.

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

Please make Cheques payable to ‘Mewla Rally’ and post to the Entries Secretary at the address below. No Cheque entries will be accepted after 13th August 2021. Post-dated cheques are not accepted.

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

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.

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 Finals and Results to?

Driver

Co-Driver

Driver

Full Name This must be filled in to continue

Address

Post Code

Home Town

Telephone Number

Mobile Number

Competition Licence Number You cannot sign on until this is filled in

Competition Licence Issuer

E-Mail Address

Club You cannot sign on until this is filled in

Date of Birth

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'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

Post Code

Home Town

Telephone Number

Mobile Number

Competition Licence Number You cannot sign on until this is filled in

Competition Licence Issuer

E-Mail Address

Club You cannot sign on until this is filled in

Date of Birth

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'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

Insurers

Name

Address

Bank	Barclays, Builth Wells
Sort Code	20 - 61 - 08
Account No.	53624668
Account Name	Epynt Motor Club Ltd
Reference	Please use Driver's full name

Old Forge Garage Mewla Rally 2021 - Internet Entry Form

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