Lynn Charity Stages ~ 23rd October 2011 |
Web Entry Form
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Please enter the rally using this form, and then pay by cheque following the instructions on the next page.
You will appear in the entry list as a pending entry immediately, and as an accepted entry once the Entries Secretary has received your payment.
Held under the General Regulations of the Motor Sports Association (incorporating the provisions of the International Sporting Code of the FIA) and the Supplementary Regulations for this event.
Undertakings & Indemnities as required by MSA GR A32 to A39 are included on the Official Signing-On Forms for the event (GR A38), also by submission of the Entry Form you agree to abide by MSA Regulations and any written instructions issued for the event. Entries cannot be accepted from non-MSA licence holders.
Any competitor who is under 18 MUST declare so on this Entry Form and the relevant Parent/Guardian will then be required to conform to MSA GR A32 ( last paragraph) and A34(c).
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| Password |
To allow you to update your entry details later. |
| Name |
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| Entrant Licence Number |
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| Name |
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| Address |
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| Town |
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| County |
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| Postcode |
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| Telephone (Day) |
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| Telephone (Evening) |
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| Mobile |
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| Email |
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| Club |
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| Licence Number |
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| Championships |
AEMC
EMAMC
ANEMMC
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| Age (if under 18) |
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| Parent/Guardian |
Parent or guardian details if under 18. |
| Next of Kin |
Name, relationship, address & telephone number of a person to be contacted in case of a serious accident. |
| Name |
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| Address |
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| Town |
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| County |
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| Postcode |
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| Telephone (Day) |
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| Telephone (Evening) |
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| Mobile |
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| Email |
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| Club |
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| Licence Number |
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| Championships |
AEMC
EMAMC
ANEMMC
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| Age (if under 18) |
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| Parent/Guardian |
Parent or guardian details if under 18. |
| Next of Kin |
Name, relationship, address & telephone number of a person to be contacted in case of a serious accident. |
| Make |
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| Model |
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| Engine Capacity |
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| Colour |
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| Registration |
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| Forced Induction |
No
Yes |
| Class |
A) Up to and including 1400cc
B) Over 1400cc up to and including 1600cc
C) Over 1600cc up to and including 2000cc
D) Over 2000c
E) All 4 Wheel Drive Cars
F) Endurance Road Rally Spec. Cars
TBA
A
B
C
D
E
F
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| Scrutineering on |
TBA
Saturday
Sunday |
| Seeding Information |
Minimum 5 events from the last 3 years only.
Event - Year - Status - Overall Position - Class Position.
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| Seeding Position |
Where would you expect to be seeded out of 75? (Just a number).
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| Entry Fee |
£210
£200 for Kings Lynn & District members
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| KL&DMC Membership |
Not Needed
Driver - £15
Co-driver - £15
Both - £30
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| KL&DMC Associate Membership |
Not Needed
Driver - £10
Co-driver - £10
Both - £20
Full membership of another MSA-recognised club is required for Associate Membership.
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