SMC Stages Supported by Legend Electric Internet Entry Form

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

Entries Close for seeding on 24th March at 10am

Entries Secretary: Ian Baxter
18 Lynnwood Road
East Didsbury
Manchester
M19 1RJ
Telephone 0161 432 9161
Fax 0161 283 7197
e-mail: ianb@typestyle.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 the SMC Stages supported by Legend Electric 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. Send a cheque to the Entries Secretary, above.

    The entry fee is £190.00 up to 17th March 2006 payable in two instalments of £95, one cheque to be dated currently and the second to be dated 17th March 2006, after the 17th March 2006 the entry fee is payable in full only.

  4. 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.
  5. 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 ianb@typestyle.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.

All the data entered on this page will be stored on a computer for the purposes of administering the entries for the SMC stages, and will not be passed to any third parties.

Entries made after seeding closes must be paid for in cash directly to the Entries Secretary

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 Phone Number
Competition Licence Number
E-Mail Address  
Club(s)
Date of Birth (if under 23 - for Shaun Lucas Tomlinson Trophy)

Co-Driver

Full Name
Address
Post Code
Telephone Number
Mobile Phone Number
Competition Licence Number
E-Mail Address  
Club(s)
Date of Birth (if under 23 - for Shaun Lucas Tomlinson Trophy)

Car

Make
Model
Colour
Registration Number
Engine Capacity
Forced Induction No
Yes
Class A - upto 1400
B - 1401 – 1600
C - 1601 – 2000
D - Over 2000

Service Vehicle

Make
Model
Colour
Registration Number

Ancillary Vehicle

Make
Model
Colour
Registration 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.

Championships

Association of Northern Car ClubsNo
Driver Only
Co-Driver Only
Driver and Co-Driver
Association of North Western Car ClubsNo
Driver Only
Co-Driver Only
Driver and Co-Driver
SD(34) Motorsport GroupNo
Driver Only
Co-Driver Only
Driver and Co-Driver

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 Stage Rallies by Driver Only

We can only seed you on the information you supply - please give as much detail as possible

Event Name and Club Year Type Surface Overall Position No of Starters

Seeding - Competitor Opinion

Out of 75 entries, where do you think you should be seeded?
Are you willing to assist the organisers in moving cones / barrels to the storage area with your tailer? Yes
No, I'm too miserable

Fees - see above for how to pay

Entry Fee £
Stockport Motor Club Membership£
Total Money to be sent £
Payment Method and details

Entrant (if applicable and not driver)

Full Name
Address
Post Code
Telephone Number
Entrants Licence Number

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 abayance will be informed by e-mail to the address(es) given above. Please ensure that the e-mail addresses you have given are correct, otherwise you will not receive any replies!

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.."

Web Entries System provided by Rallies.info