Tyneside Stages Rally 2010 Internet Entry Form

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

Entries Close for seeding on 19th July at 10am

Late entries are available please check with entries secretary before completing application (Maurice on 01665 602690 or maurice@mabonm.freeserve.co.uk)

Entries Secretary: Maurice Mabon
70 Chapel Lands
ALNWICK
Northumberland
NE66 1ER
Telephone 01665 602690

e-mail: maurice@mabonm.freeserve.co.uk

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

Welcome to Tyneside Stages Rally 2010 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.
Payment to made by cheque only, made payable to 'Alnwick and District Motor Club Ltd'' to the Entries Secretary at the address above.
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 5 days of the expected payment date, or if you have any other questions, please e-mail maurice@mabonm.freeserve.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.

Document Addressing

E-Mail address for communication

Real Name of this person

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

Address

Post Code

Telephone Number

Mobile Number

Competition Licence Number

Competition Licence Issuer

E-Mail Address

Club

Date of Birth

Co-Driver

Full Name

Address

Post Code

Telephone Number

Mobile Number

Competition Licence Number

Competition Licence Issuer

E-Mail Address

Club

Date of Birth

Car

Make

Model

Colour

Registration Number

Engine Capacity

Forced Induction

No
Yes

Four Wheel Drive

No
Yes

Class

Class N1 - Cars up to and including 1400cc - Group N
Class N2 - Cars over 1400cc but no more than 1600cc- Group N
Class N3 - Cars over 1600cc but no more than 2000cc- Group N
Class N4 - Cars over 2000cc - Group N
Class A5 - Cars up to and including 1400cc - Group A
Class A6 - Cars over 1400cc but no more than 1600cc - Group A
Class A7 - Amalgamated with Class B11 see below
Class A8 - Cars over 2000cc - Group A
Class B9 - Cars up to and including 1400cc- Category B
Class B10 - Cars over 1400cc but no more than 1600cc- Category B
Class B11 - Cars over 1600cc but no more than 2000cc- Category B
Class B12 - Cars over 2000cc two wheel drive - Category B
Class B13 - Cars over 2000cc four wheel Drive - Category B
Class B 14 - Any four wheel drive current or former World Rally Car
Class R - Any Rally first competitor up 1400cc
Class H - All category 1,2, or 3 as defined by 2010 MSA Tech Regs

In Car Camera Request

FIA Homologation Number

Insurers

Name

Address

Championships

2010 Richard Egger MSA Asphalt Rally Championship

None
Driver
Co-Driver
Both

2010 ANECCC Steve Petch Stage Rally Championship

None
Driver
Co-Driver
Both

2010 AS Performance N of England Tarmacadam Championship

None
Driver
Co-Driver
Both

2010 HRCR Motorscope N Historic Rally Championship

None
Driver
Co-Driver
Both

2010 Hankook Scottish Tarmack Rally Championship

None
Driver
Co-Driver
Both

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?

Person to be contacted in case of serious accident to Co-Driver

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	Surface	Overall Position	No of Starters

Seeding - Competitor Opinion

Out of 100 entries, where do you think you should be seeded?

Fees - see above for how to pay

Entry Fee

Club Membership

Insurance

Donation to the Marshals Fund

Total Money to be sent

Payment Method and Details

Entrant (if applicable and not driver)

Name

Address

Post Code

Telephone Number

Competition Licence Number

Competition Licence Issuer

Comments

The details on this form will be held on computer in order to be used for the administration of this event. They will also be used to send you information about future events organised by this club, unless you untick this box to indicate you do not wish to receive information on further events.
The details on this form may also be passed on to other motorsport organisations, unless you untick this box to indicate you do not wish these details passed on.

Remember your entry is subject to receipt of the correct entry fee. An automated acknowledgement is NOT confirmation of entry. Rejected entries and entries held in abeyance will be informed by e-mail to the address(es) given above.

By clicking on the "Enter the Rally" button below you agree to the following: "I declare that I have been given the opportunity to read the General Regulations of the Motor Sports Association and, if any, the Supplementary Regulations for this event and agree to be bound by them. I declare that I am physically and mentally fit to take part in the event and I am competent to do so. I acknowledge that I understand the nature and type of the competition and the potential risk inherent with motor sport and agree to accept that risk. Further, I understand that all persons having any connection with the promotion and/or organisation and/or conduct of the event are insured against loss or injury caused through their negligence.."

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