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.

  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. Our only accepted payment method is to pay by Bank Transfer, account name "Caerwent Rally".
    bank
    Please use DRIVERS SURNAME & CO DRIVERS SURNAME as reference.                                                                                              
  4. 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.
  5. 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
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)
Championships
CMSG BP Motor Body Builders & Engineers Stage Rally Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
DL Motorsport Parts Ltd ASWMC Stage Rally Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
AWMMC Mr Tyre Heart of England Stage Rally Championship in association with Steve Blackham Motors
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
WAMC Welsh Historic Rally Championship supported by Brian Dennis Motorsport & www.jelfmotorsport.com
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
FUCHS Lubricants Classic Mini Challenge
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Person to be contacted in case of serious accident to Driver
Name
Telephone Number
Relationship
Will this person be attending the event?
Person to be contacted in case of serious accident to Co-Driver
Name
Telephone Number
Relationship
Will this person be attending the event?
Seeding - Past Performance on Rallies of Driver Only
Event NameYearSurfaceOverall PositionClass Position
Seeding - Competitor Opinion
Out of 100 entries, where do you think you should be seeded?
Scrutineering
When would you prefer to scrutineer? Saturday
Sunday
Fees - see above for how to pay
Entry Fee £
Club Membership £
Total Money to be sent£
Payment Method and Details
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 rallies 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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