JUDD BROTHERS 1000 Lanes Road Rally 2019 Internet Entry Form

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

Welcome to the JUDD BROTHERS 1000 Lanes Road Rally 2019 Online Entry system.

Date: 12/13 October 2019

Entries Secretary: 

Abi Summerfield

8 Picton Terrace

Mount Pleasant

Swansea

SA1 6XL

Tel. 07977687949

Email: Abigail@engineer.com

This event is held under the General Regulations of the Motorsport UK (incorporating the International Sporting Code of the FIA) and the Supplementary Regulations

Please follow the steps below to enter the rally.

  1. Complete all the fields in the form below. The fields with red backgrounds are mandatory.
  2. Once you have hit the "Enter the Rally" button at the end you will receive an automated response confirming we have received your entry form.
  3. There are then three ways you can pay:- Please State Your Name If paying via direct payment
    1. You can send a cheque,(when you enter!!) made payable to 'Heads of The Valleys Automobile Club' or 'HOVAC' with your name on the back, to the Entries Secretary at the address above.
    2. Direct Payment to our Lloyds Account. Heads of Valleys Auto Club  -  Account No 02539648 Sort code 30-92-97. Please reference crew's name when making payment. 
  4. Within 24 hours of us receiving the payment for your entry you should receive an e-mail confirming your entry from the Entries Secretary.
  5. NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID.
  6. If you don't receive a response within 3 days of the expected payment date, or if you have any other questions, please e-mail the entry secretary.
  7. 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.        (but send them as soon as you do!!)

At signing on incomplete entry forms will be handed back to you to be filled out at the back of the queue!

IF YOU INTEND TO PAY FOR INSURANCE ON THE NIGHT- PUT 'ON THE NIGHT'  (in the insurers- NAME column) and own insurance 0:00 in fees column

 

Document Addressing
E-Mail address for communication
Real Name of this person
Whom should we send Finals and Results to?
How would you like to receive Finals and Results?
Driver
Full Name
Address
Post Code
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Date of Birth
Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Co-Driver
Full Name
Address
Post Code
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Date of Birth
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
Class
Insurers
Name & policy No
Address
Championships
Welsh Association of Motor Clubs Championship
Crew Members Registered
Driver 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
Event Name and ClubYearTypeOverall PositionNo of Starters
Fees - see above for how to pay
Entry Fee £100.00 £
Club Membership £10.00 £
Insurance £
Total Money to be sent£
Payment Method and Details
Marshal Details
Name
Mobile Number
Experience
Privacy and Permissions

We take your privacy seriously and will only use your personal information to administer your entry, including providing a public Entry List and sending you emails in connection with your entry. Some of your information will be passed on to the organisation providing results for the event.

We would also like to be allowed to contact you in the future to tell you about other events which we are running, including this event in future years. If you are happy to allow us to do this, please say so here.

We would also like to be allowed to pass on your Name, Address, Post Code and email addresses to JNAS Photography so that they can contact you with a view to offering you videos and photos of you on the event. If you are happy to allow us to do this, please say so here.

The event is not currently open for entries

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