Jasper's Bakeries AGBO Historic Stages 2018

Held under the General Regulations of the Motor Sports Association (incorporating the International Sporting Code of the FISA) and the Supplementary Regulations

Welcome to the Jasper's Bakeries AGBO Historic Stages Rally online entry system. Please follow the steps below to enter the rally.

Please note that this event is for cars that comply with Historic R49 regulations only. Please do not enter unless your car complies with the technical specifications.

Please be aware there are 40 places reserved for HRCR Old Stager/Mini Cup/Stage Masters competitors and 20 places reserved for WAMC Historic championship competitors for one week from release of entry. You will only qualify for one of these places if you have registered for your respective championship before entering the rally.

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

4. Within 24 hours of us receiving the payment for your entry you should receive a formal e-mail confirmation stating your entry as accepted from the Entries Secretary. NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID.

5. If you don't receive a response within 7 days (THERE MAY BE LONGER DELAY WITHIN THE FIRST 5 DAYS OF ENTRIES GOING LIVE) of the expected payment date, or if you have any other questions, please e-mail agbostagesrally@hotmail.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. Full driver and car details must be provided as a minimum.

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

Telephone Number

Mobile Number

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

E-Mail Address

Club You cannot sign on until this is filled in

Club Membership No 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 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 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

Telephone Number

Mobile Number

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

E-Mail Address

Club You cannot sign on until this is filled in

Club Membership No 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 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 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

Make You cannot sign on until this is filled in

Model You cannot sign on until this is filled in

Colour

Registration Number

Engine Capacity

Class You cannot sign on until this is filled in

A - Cars up to and including 1400cc

B - Cars over 1401cc and up to 1600cc

C - Cars over 1601cc and up to 2000cc

D - Cars over 2000cc

Competition Car Logbook Number You cannot sign on until this is filled in

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

Bank	Lloyds Bank
Sort Code	30-90-82
Account No.	13225768
Account Name	Owen Motoring Club Ltd
Reference	Driver's full name
IBAN	GB17LOYD30908213225768
BIC	LOYDGB21573

Jasper's Bakeries AGBO Historic Stages 2018 - Internet Entry Form

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