Chris Kelly Memorial Rally 2020 - Internet Entry Form

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

Entries Close for seeding on 4 May 2020 at 12:00hrs

Entries Secretary
Manx Auto Sport
PO Box 85
DOUGLAS
Isle of Man
IM99 1GQ

Email: manx@pdextinguishers.co.uk

Held under the General Regulations of the Motor Sports Association (incorporating the International Sporting Code of the FIA) and the Supplementary Regulations

Welcome to the 2020 Chris Kelly Memorial Rally 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.

There are then two ways to pay ??

If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account. Full payment is due at time of entry. The details are:-

Bank	Barclays
Sort Code	20-26-74
Account No.	00198587
Account Name	Manx Auto Sport Limited
Reference	Driver's full name.

You can send a cheque, made payable to "Manx Auto Sport Limited" to the Entries Secretary at the address above. Please include Drivers Name on the back of the cheque.

Within 24 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.
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 entries.manxautosport@gmail.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.
For competitors wishing to take advantage of the travel deal then please take the following steps:
1. Place your entry for the event using the below form and select entry fee inclusive of travel.
2. Send entry fee inclusive of travel via cheque or online to Manx Auto Sport using the above details.
3. Contact the team at Isle of Man Event Services Limited on +44 (0) 1624 664460 or info@iomevents.com, quoting "Manx Rally".
4. If you require additional arrange above what is included in the deal, then please inform the team at Isle of Man Event Services when booking. Any additional costs should be paid direct to Isle of Man Event Services Ltd

Document Addressing

E-Mail address for communication This must be filled in to continue

Real Name of this person This must be filled in to continue

Whom should we send Finals and Results to?

Driver

Co-Driver

How would you like to receive Finals and Results?

E-mail/Website

Posted Paper

Driver

Full Name This must be filled in to continue

Address

Post Code

Home Town

Telephone Number

Mobile Number This must be filled in to continue

Competition Licence Number This must be filled in to continue

Competition Licence Issuer This must be filled in to continue

E-Mail Address

Club You cannot sign on until this is filled in

Club Membership No You cannot sign on until this is filled in

Date of Birth

Nationality

Helmet Make You cannot sign on until this is filled in

Helmet Model You cannot sign on until this is filled in

Helmet Approval Standard You cannot sign on until this is filled in

FHR Make You cannot sign on until this is filled in

FHR Model You cannot sign on until this is filled in

FHR Approval Standard You cannot sign on until this is filled in

Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Post Code

Telephone Number

Relationship

Competition Licence Number

Competition Licence Issuer

Co-Driver

Full Name This must be filled in to continue

Address

Post Code

Home Town

Telephone Number

Mobile Number This must be filled in to continue

Competition Licence Number This must be filled in to continue

Competition Licence Issuer This must be filled in to continue

E-Mail Address

Club You cannot sign on until this is filled in

Club Membership No You cannot sign on until this is filled in

Date of Birth

Nationality

Helmet Make You cannot sign on until this is filled in

Helmet Model You cannot sign on until this is filled in

Helmet Approval Standard You cannot sign on until this is filled in

FHR Make You cannot sign on until this is filled in

FHR Model You cannot sign on until this is filled in

FHR Approval Standard You cannot sign on until this is filled in

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

Name

Address (if different)

Post Code

Telephone Number

Relationship

Competition Licence Issuer

Car Seats and Harnesses

Left Harness FIA Homologation Expiry Date You cannot sign on until this is filled in

Right Harness FIA Homologation Expiry Date You cannot sign on until this is filled in

Left Seat FIA Homologation Expiry Date You cannot sign on until this is filled in

Right Seat FIA Homologation Expiry Date You cannot sign on until this is filled in

Car Fire Extinguishers

Hand-held fire extinguisher make You cannot sign on until this is filled in

Hand-held fire extinguisher capacity You cannot sign on until this is filled in

Hand-held fire extinguisher last service date You cannot sign on until this is filled in

Plumbed-in fire extinguisher make You cannot sign on until this is filled in

Plumbed-in fire extinguisher capacity You cannot sign on until this is filled in

Plumbed-in fire extinguisher last service date You cannot sign on until this is filled in

Insurers

Name

Address

If you wish to use the road section insurance, can you comply with the Insurance Declaration quoted in the regulations? You cannot sign on until this is filled in

Yes - I wish to use the insurance and I comply with all points

No - I wish to use the insurance but do not comply (please contact me)

N/A - I have my own insurance

Recce vehicle

Make

Model

Colour

Registration Number

Contact Name

Contact Number

Service vehicle

Make

Model

Colour

Registration Number

Contact Name

Contact Number

Management vehicle

Make

Model

Colour

Registration Number

Contact Name

Contact Number

Sponsor

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.