Motex Gymkhana ~ 22nd June 2008

Web Entry Form
Please enter the rally using this form, and then pay by cheque or credit card 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 International Sporting Code of the FIA) and these Supplementary Regulations
Indemnifications will be provided at signing on. Entries cannot be accepted from non-MSA licence holders.

Please fill in all fields marked with a *
Password (to allow you to update your details later) *
Driver
Name *
Address *
Town
County
Postcode *
Telephone *
Mobile
Email
Club
Age if under 18
Name & number of a person to be contacted in case of a serious accident
Navigator
Name *
Address *
Town
County
Postcode *
Telephone *
Mobile
Email
Club
Age if under 18
Car Make
Car Model
Engine Capacity
Registration
Colour
Class TBA  A1  A2  A3  B1  B2  C1  C2  D1  D2  D3  E
Entry Fee Single - £30  Double - £60
Membership of CMC (if needed) Not needed  Both - £20  Driver- £10  Navigator- £10