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Armstrong Galloway Hills Rally (75 miles) 2019 Internet Entry Form

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

The event will be governed by the 2019 General Regulations of The Motor Sports Association (incorporating the provisions of the International Sporting Code of the FIA), the Motor Vehicles (Competitions and Trials) (Scotland) Regulation 1976, the Supplementary Regulations for the event, Supplementary Regulations issued by any championship which this event forms part of, and any written instructions the promoting Club may issue for the event.

To enter the Armstrong Galloway Hills Rally (75 miles) - please follow the steps below:

1.             The Supplementary Regulations for the event can be found HERE. Please read them before entering.

2.             Please complete the entry form in full, leaving as few blanks as possible. Incomplete forms will be refused.

3.             The fields with red backgrounds are mandatory and must be filled in otherwise you will not be able to submit your entry.

4.             Payment details will be emailed to you with your Entry Acknowledgement, or can be found in the Supplementary Regulations, Article 8.

5.             Remember: your entry remains provisional until receipt of your full payment. Please remember, only entries which have been fully paid by the closing date will be seeded.

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 Event Secretary.

7.             If you would rather enter the 45 mile National B rally, click HERE.

Entries will close for seeding on Saturday 31st August 2019.


Name of person completing the Entry Form
 
E-Mail address for communication
Real Name of this person

Driver
 
Full Name
Address
Post Code
Home Town
Telephone Number
Mobile Number
Competition Licence Number
Competition Licence Grade
E-Mail Address
Club
Age on Saturday 14 September 2019
Name as it appears on Competition Licence

Driver's Parent or Guardian (under 18s only)
 
Name of Driver's Parent or Guardian
Address (if different from Driver)
Telephone Number (contactable on the day of the event)
Relationship to Driver

Co-Driver
 
Full Name
Address
Post Code
Home Town
Telephone Number
Mobile Number
Competition Licence Number
Competition Licence Grade
E-Mail Address
Club
Age on Saturday 14 September 2019
Name as it appears on Competition Licence

Co-Driver's Parent or Guardian (under 18s only)
 
Name of Driver's Parent or Guardian
Address (if different from Co-Driver)
Telephone Number (contactable on the day of the event)
Relationship to Co-Driver

Car Details  -  see SR Article 6
 
Make
Model
Colour
Registration Number
Engine Capacity
Class

Insurance - see SR Article 21
 
Insurance
State Name of Insurer, only if using your own Insurance
Service Vehicle - see SR Article 15
Make/Model
Colour
Registration Number
Service Contact Name
Mobile Number (contactable on the day of the event)
Auxiliary Service Vehicle - see SR Article 15 re permitted vehicles
Make/Model
Colour
Registration Number
Auxiliary Service Contact Name
Mobile Number (contactable on the day of the event)
Recce Vehicle - see SR Article 26
Make
Model
Colour
Registration Number

Sponsor
 
Sponsors/Supporters: (This information may be used to aid our Press Officer with pre/post event PR, and/or Social Media updates)

Championships
 
British Rally Championship
Crew Members Registered
KNC Groundworks Motorsport UK Scottish Rally Championship (counting SS 1, 5, 6, 7 & 9 of the 75 mile National B event)
Crew Members Registered

Person to be contacted in the case of a serious accident involving the Driver
 
Name
Telephone Number (contactable on the day of the event)
Relationship to Driver
Will this person be attending the event?

Person to be contacted in the case of a serious accident involving the Co-Driver
 
Name
Telephone Number (contactable on the day of the event)
Relationship to Co-Driver
Will this person be attending the event?

Seeding Information
 
Event NameYearSurfaceOverall PositionClass Position

Fees - see SR Article 8 for remittance details
 
Entry Fee £
Car Club Membership £
Insurance £
Test Day£
Recce£
Total Money to be sent£

Ferry Booking Information  -  see SR Appendix A for full T&Cs, Restrictions and Sailing Times (for National B entrants only)
 
Total number of people travelling:
Outbound Stena Line sailing from Belfast to Cairnryan:

WHAT DAY?
Outbound Stena Line sailing from Belfast to Cairnryan:

WHAT TIME?
Homeward Stena Line sailing from Cairnryan to Belfast:

WHAT DAY?
Homeward Stena Line sailing from Cairnryan to Belfast:

WHAT TIME?

Comments
 
Any other information you'd like to tell us?

> If your Service vehicle is larger than a LWB Transit or Sprinter sized van, please say here.

> If you are sharing a Service Vehicle/Personnel (or maybe just their picnic!) with another crew, please enter their name(s) here.
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.

The event is not currently open for entries

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