Albemarle Targa 2025 - Internet Entry Form

Entries Secretary: Gordon Bradford
13 Beverley Drive, Swalwell, Newcastle upon Tyne, NE16 3EH

Held under the National Competition Rules of Motorsport UK (incorporating the International Sporting Code of the FISA) and the Supplementary Regulations

Welcome to the Albemarle Targa 2025 Online Entry system

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 preferred method of payment is -BACS If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account. The details are:-

***Please be aware that your entry will not be accepted UNTIL PAYMENT IN FULL HAS BEEN RECEIVED and cleared.***

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 gordon.bradford1@gmail..co.uk

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!)

PLEASE, do not forget to download & complete the signing on forms for Driver & Co Driver

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

Driver

Full Name This must be filled in to continue

Address

Post Code

Telephone Number

Mobile Number

Competition Licence Number You cannot sign on until this is filled in

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

Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Post Code

Telephone Number

Relationship

Competition Licence Number

Competition Licence Issuer

Navigator

Full Name This must be filled in to continue

Address

Post Code

Telephone Number

Mobile Number

Competition Licence Number You cannot sign on until this is filled in

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

Navigator's Parent or Guardian (under 18 only)

Name

Address (if different)

Post Code

Telephone Number

Relationship

Competition Licence Issuer

Car

Make You cannot sign on until this is filled in

Model You cannot sign on until this is filled in

Colour

Registration Number

Engine Capacity

Year

Non Compliant Historic Car

Please state YES if your car does NOT comply with Road Rally Regs 18.2.1 - 18.2.4 ie more than 2 cams/2 chokes/more than 4 cyls This must be filled in to continue

Yes

Class You cannot sign on until this is filled in

ME - Modern Experts

MN - Modern Novices

HE - Historic Experts

HN - Historic Novices

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?

Yes

Person to be contacted in case of serious accident to Navigator

Name

Address

Post Code

Telephone Number

Relationship

Will this person be attending the event?

Seeding - Past Performance on Rallies

Event Name and Club

Year

Type

Overall Position

No of Starters

Fees - see above for how to pay

Entry Fee

Club Membership

Marshals Contribution

Total Money to be sent

Payment Method and Details This must be filled in to continue

Marshal Details

Name

Address

Post Code

Telephone Number

Mobile Number

Email Address

Experience

Comments

Anything else you'd like to tell us

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.

Yes

We would also like to be allowed to pass on your Name, Address, Post Code and email addresses to [INSERT VIDEO COMPANY HERE] and [INSERT PHOTO COMPANY HERE] 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.

Yes

The event is not currently open for entries

Bank	Barclays Bank (business Acc)
Sort Code	20 33 51
Account No.	20947334
Acc Name	Whickham & District Motor Club Ltd
Reference	Driver's Name

Albemarle Targa 2025 - Internet Entry Form

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

Entries Close on 16th January 2025 at 18.00 pm

Welcome to the Albemarle Targa 2025 Online Entry system