Entry form event entered autotest autosolo pca please Circle name of driver



Download 27.25 Kb.
Date19.05.2018
Size27.25 Kb.
#49258
HARROW CAR CLUB Ltd/MIDDLESEX COUNTY AUTOMOBILE CLUB Ltd


BRAKEFAST AUTOTEST AUTOSOLO & PCA


7th April 2018

ENTRY FORM
EVENT ENTERED - AUTOTEST AUTOSOLO PCA Please Circle

NAME OF DRIVER.....................................................................................................
ADDRESS ………………………... .........................................................................

………..............................................………………………………………………………...


…………………………….……………………………....................................................................................................................
……… .............................................................................................................................
TELEPHONE Home …………………..………..Mobile………….……………………………….
email …………………………..………………………
CLUB ........................................................................
Southern Autotest Championship entrant YES / NO

I hold a full RTA licence YES / NO


Number of Autotests/AutoSOLOs competed on (please circle) None 1 2 More than 2
Number of Autotests/AutoSOLO awards won (please circle) None 1 More than 1
Would you like to receive final instructions by email? YES / NO
Would you like to receive final results by email? YES / NO
Make of car ................................................................
Model ................................................................ Capacity ……....................
Class entered ..............................................................
CHEQUE/PO for £.................. made payable to Middlesex County AC
Entry fee is £25 up to 6th April 2018, £30 thereafter
Send to: Steve Casey, 21 Westmead, South Euislip, Middx, HA4 0TW
or email: steve.j.casey@blueyonder.co.uk
Name, address and telephone number of person to be contacted in the event of an accident:
Name ………….............................................
Address ……………………...............................................................................
……………………...............................................................................
Telephone no ..............................................

Download 27.25 Kb.

Share with your friends:




The database is protected by copyright ©ininet.org 2024
send message

    Main page