Raintite Coated Metals, Curzon Wealth Management Patriot Stages 2019 Internet Entry Form

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

Welcome to the Raintite Coated Metals, Curzon Wealth Management Patriot Stages 2019 On-line Entry Form.

Entries close for seeding on Thursday 19th September.
Entries finally close on Thursday 26th September at midnight.

Held under the General Regulations of MotorsportUK (incorporating the International Sporting Code of the FIA) and the Supplementary Regulations.

Welcome to the Online Entry System. Please follow the steps below to enter the rally.

Complete all the fields in the form below. The fields with red backgrounds are mandatory.
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.
Our only accepted payment method is to pay by Bank Transfer, account name "Caerwent Rally".

Please use DRIVERS SURNAME & CO DRIVERS SURNAME as reference.
Within 72 hours of us receiving the payment for your entry you should receive an e-mail confirming your entry from the Entries Secretary. NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID AND YOU WILL DROP TO THE BOTTOM OF THE LIST.
If you do not receive a response within 5 days of the expected payment date, or if you have any other questions, please e-mail saunders.shirley@googlemail.com.

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.

Thank you for your entry!

Document Addressing

E-Mail address for communication

Real Name of this person

Whom should we send Finals and Results to?

Driver
Co-Driver
Both

Driver

Full Name

Address

Contact Phone Number (preferably Mobile)

Competition Licence Number

E-Mail Address

Motor Club

Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Telephone Number

Relationship

Co-Driver

Full Name

Address

Contact Phone Number (preferably Mobile)

Competition Licence Number

E-Mail Address

Motor Club

Co-Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Telephone Number

Relationship

Car

Make

Model

Colour

Engine Capacity

Class (see article 8)

Class 1 - Cars up to and including 1400cc
Class 2 - Cars over 1401cc - 1600cc
Class 3 - Cars over 1601cc - 2000cc
Class 4 - Cars over 1601cc to 2000cc 4 cylinder 8 valve normally aspirated
Class 5 - Cars over 2000cc 2WD
Class 6 - Cars over 2000cc 4WD
Class 7 - Road Rally Cars (as per WAMC Road Rally Rules)
Class 8 - Historic Cars

Championships

CMSG BP Motor Body Builders & Engineers Stage Rally Championship

Crew Members Registered

None
Driver
Co-Driver
Both

Driver Championship Registration Number