| 2006 - REGISTRATION FORM |
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| Are you entering as: | BMW 1.4 Driver 1.6 Driver 1.9 Driver 206 Driver Other Driver |
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| YOUR CONTACT
DETAILS: Drivers - use your co-drivers detail's for the contact info if you wish. |
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| DRIVER/CO-DRIVER
INFORMATION: |
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| 1. Are you registering in 1.6, 1.9 as : (please tick the appropriate box) |
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| a. Beginner (your first stage rally will be on a 2004 challenge round and never held a rally license before 2004) |
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| b. Novice (holder of a 2002/3 MSA competition license but never won a class Award of any type or a Rally Championship) |
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| c. Expert (in the top 3 of your class in the 2002/3 205 challenge or a previous winner of a any motorsport Championship. (This includes motor club championships) |
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| 1. Are you registering in 1.4 as : (please tick the appropriate box) |
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| a. Green Horn (never previously competed in a rally of 'National B' status or above) |
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| b. Experienced (any other driver) |
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| 2. Are you a female driver: | YES NO |
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| PRICE FEES: |
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| 1.4 Entry £235.00
1.4 Co-driver Entry £40.00
1.6 Entry £295.00 1.9 Entry £295.00 1.6 or 1.9 Co-driver Entry £50 |
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| 1.4 and 1.6 Class: Pat Flynn, 30 Highwood Av, Belper, Derbyshire, DE56 1SP - Tel:- 07870 590884 1.9 Scholarship: Kev Furber, 147 Manchester Road, Hapton, Nr Burnley Lancs, BB11 5RA - Tel 07850 732867 |
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| Motor club Membership (Streetly) £20.00
(This fee is compulsory as you must be affiliated to a RAC MSA approved Motor Club. This Fee is payable to Streetly on the first event.) |
| This section is only relevant for 1.9 class entries. |
| PERSONAL
INFORMATION: |
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