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Motex Gymkhana ~ 28th February 2010
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Web Entry Form
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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 * |
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Password (to allow you to update your details later) |
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Driver |
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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 |
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Mobile |
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Email |
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Club |
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Age if under 18 |
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Name & number of a person to be contacted in case of a serious accident |
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Navigator |
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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 |
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Mobile |
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Email |
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Club |
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Age if under 18 |
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Car Make |
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Car Model |
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Engine Capacity |
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Registration |
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Colour |
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Class |
TBA
A1
A2
B1
B2
C1
C2
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Entry Fee |
Single - £40
Double - £80 |
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Membership of CMC (if needed) |
Not needed
Both - £20
Driver- £10
Navigator- £10
One-day membership for
Both - £2
Driver- £1
Navigator- £1
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