Document Addressing E-Mail address for communication Real Name of this person Whom should we send Finals and Results to? Driver Co-DriverDriver Full Name Address Post Code Home Town Telephone Number Mobile Number Competition Licence Number Competition Licence Issuer E-Mail Address Club Age if under 21
Disability OR are on Anti-Coagulant Therapy YES NODriver Publicity Hobbies Married? No of Children How Long Rallying? Notable Results Any other information Driver's Parent or Guardian (under 18 only) Name Address (if different) Post Code Telephone Number Relationship Co-Driver Full Name Address Post Code Home Town Telephone Number Mobile Number Competition Licence Number Competition Licence Issuer E-Mail Address Club Age if under 21
Disability OR are on Anti-Cougulant Therapy
YES NOCo-Driver Publicity Hobbies Married? No of Children How Long Rallying? Notable Results Any other information Co-Driver's Parent or Guardian (under 18 only) Name Address (if different) Post Code Telephone Number Relationship Car Make Model Colour Registration Number Engine Capacity Year Forced Induction No YesFour Wheel Drive No YesClass BRC 1 - S2000-Rally: 1.6T engine with a 28mm restrictor, S2000-Rally: 2.0 Atmospheric, Group R5 (VR5), Group R4 (VR4) BRC Production Cup - Group NR4 over 2000cc Junior BRC - R2 (atmospheric over 1390cc and up to 1600cc – VR2B and turbo over 927cc and up to 1067cc – VR2B) Cadet BRC - R2 (atmospheric over 1390cc and up to 1600cc – Vauxhall ADAM Cup and Ford Fiesta R2T National and Ford Fiesta 1.6 R2 cars) BRC 3 - Group A over 1600cc up to 2000cc, Super 1600 R2 (atmospheric over 1600cc up to 2000cc–VR2C and turbo over 1067cc up to 1333cc–VR2C), R3 (atmospheric/over 1600cc up to 2000cc–VR3C and turbo over 1067cc up to 1333cc–VR3C), R3 (turbo /up to 1620cc /nominal–VR3T), R3 (diesel /up to 2000cc /nominal–VR3D) BRC 4 - R2 (atmospheric over 1390cc and up to 1600cc – VR2B and turbo over 927cc and up to 1067cc – VR2B), Group A up to 1600cc, Kit-car up to 1600cc, Group N over 1600cc and up to 2000cc BRC 5 - Group N up to 1600cc, R1 (atmospheric up to 1600cc - VR1A/VR1B and turbo up to 1067cc - VR1A/VR1B) NRC 1 - National Rally Cup Class 1 - All 2WD non-homologated cars up to 1450cc NRC 2 - National Rally Cup Class 2 - All 2WD non-homologated cars - 1451cc to 1650cc NRC 3 - National Rally Cup Class 3 - Front wheel drive non-homologated cars – 1651cc to 2050cc NRC 4 - National Rally Cup Class 4 - Rear wheel drive non-homologated cars – 1651cc to 2050cc NRC 5 - National Rally Cup Class 5 - All 2WD non-homologated cars over 2050cc NRC 6 - National Rally Cup Class 6 – Any 4WD car not classified in Class 7 NRC 7 - National Rally Cup Class 7 - Any derivative of FIA R5 car out with its homologationIn Car Camera Request Insurers Name Address Service vehicle Make Model Colour Registration Number Contact Name Contact Number Reconnaissance Vehicle Make Model Colour Registration Number Contact Name Contact Number Entrant
Sponsor Name (Note: this sponsor does not need an entrant's licence. If you have an entrant with an entrant's licence, please give details later. Championships The Prestone MSA British Rally Championship Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number Co-Driver Championship Registration Number The ARR Craib MSA Scottish Rally Championship Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number Co-Driver Championship Registration Number The Ecosse Challenge Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number Co-Driver Championship Registration Number The Border Challenge Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number Co-Driver Championship Registration Number The Motoscope Northern Historic Championship Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number Co-Driver Championship Registration Number Person to be contacted in case of serious accident to Driver Name Address Post Code Telephone Number Relationship Will this person be attending the event? Person to be contacted in case of serious accident to Co-Driver Name Address Post Code Telephone Number Relationship Will this person be attending the event? Seeding - Past Performance on Rallies Seeding - Competitor Opinion Out of 100 entries, where do you think you should be seeded? Scrutineering When would you prefer to scrutineer?
Please select 1 time. Scrutineering 13:00 Scrutineering 14:00 Scrutineering 15:00 Scrutineering 16:00 Scrutineering 17:00 Scrutineering 18:00 Scrutineering 19:00 Scrutineering 19:00 Scrutineering 20:00Free Service Pack YesReconnaissance No Yes - BRC CREWS ONLYCheques -
made payable to 'Border Counties Rally'
BACS - Please state receipt number when paying
Account Name - H & BCC No 2 B C Rally
Bank of Scotland, 7 High Street, Hawick, TD9 9DA
Sort Code - 80-16-22
Account Number - 00221068
Payment from overseas -
IBAN: GB13BOFS80162200221068
BIC: BOFSGB21165
Entry Fee £1300.00 - BRC 1,3,4,5, Junior BRC,Cadet BRC, BRC Production Cup 1150.00 - BRC National Rally Cup WITH recce 1000.00 - BRC National Rally Cup WITHOUT recce Club Membership £0.00 - 0.00 - None 10.00 - 10.00 - Both Crew Members 5.00 - 5.00 - One Crew Member Insurance £0.00 - 0:00 Own Insurance 25.00 - REIS Insurance - Nat A competitors Marshals Donation - Up to you £ Total Money to be sent £ Payment Method and Details BACS CHEQUE CHEQUE X 2Entrant (if applicable and not driver) Name Address Post Code Telephone Number Nationality Competition Licence Number Competition Licence Issuer
Remember your entry is subject to receipt of the correct entry fee. An automated acknowledgement is NOT confirmation of entry. Rejected entries and entries held in abeyance will be informed by e-mail to the address(es) given above.
By clicking on the "Enter the Rally" button below you agree to the following: "I declare that I have been given the opportunity to read the General Regulations of the Motor Sports Association and, if any, the Supplementary Regulations for this event and agree to be bound by them. I declare that I am physically and mentally fit to take part in the event and I am competent to do so. I acknowledge that I understand the nature and type of the competition and the potential risk inherent with motor sport and agree to accept that risk. Further, I understand that all persons having any connection with the promotion and/or organisation and/or conduct of the event are insured against loss or injury caused through their negligence."