Entries Close for seeding on 20th November at 10am

Entries Secretary: Andrea Atkinson
22 Potterdale Drive
Little Weighton
Cottingham
HU20 3UX
Telephone 01482 876400
Fax 01482 849213
e-mail: beaver@bdmc.org.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 Maple Garage Beaver Rally 2004 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. Arrange for your bank to pay the entry fee into our account, if you have telephone or Internet banking. If you don't have telephone or Internet banking, send a cheque to the Entries Secretary, above.
    BankHSBC
    Sort Code40-25-15
    Account No.71121723
    Account NameBeverley & District Motor Club
    ReferenceDriver's full name.
  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 beaver@bdmc.org.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 Phone Number
Competition Licence Number
E-Mail Address  
Club

Co-Driver

Full Name
Address
Post Code
Telephone Number
Mobile Phone Number
Competition Licence Number
E-Mail Address  
Club

Car

Make
Model
Colour
Registration Number
Engine Capacity
Class A - Expert
B - Semi-Expert
C - Novice
D - Historic

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

ANCC - Kent Cams Northern Road Rally ChampionshipNo
Driver Only
Co-Driver Only
Driver and Co-Driver
ANEMMC - C.A.R.S. Road Rally ChampionshipNo
Driver Only
Co-Driver Only
Driver and Co-Driver
ANEMMC - C.A.R.S. Historic Road Rally ChampionshipNo
Driver Only
Co-Driver Only
Driver and Co-Driver
EMAMC - ADR Accident Repair Centres Road Rally ChampionshipNo
Driver Only
Co-Driver Only
Driver and Co-Driver
EMAMC - ADR Accident Repair Centres Historic Road Rally ChampionshipNo
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

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

Name
Address  
Post Code
Telephone Number

Seeding - Past Performance on Road Rallies by Navigator Only

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

Event Name and ClubYearTypeOverall Position

Seeding - Competitor Opinion

Out of 50 entries, where do you think you should be seeded?

Fees - see above for how to pay

Entry Fee £
Beverley & District Motor Club 2004 Membership£
Alexander Forbes Insurance£
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

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.