Rainworth Skoda Dukeries Rally 2010 Internet Entry Form

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

Entries Close for seeding on TUESDAY 1st June at 10am

Entries Secretary: Susan Hall

Threeways, Besthorpe Road, North Scarle, Lincs. LN6 9EZ

Telephone 01522 779197  (Evenings before 9.00pm)
e-mail: entries@dukeries-rally.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 RAINWORTH SKODA Dukeries Rally 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. There are then THREE ways to pay
    1. If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account. The details are:-
      Bank Co-operative Bank
      Sort Code  08-92-99
      Account No.  65342240
      Account Name Dukeries MC Events Account
      Reference Driver's First name and Surname

    2. Payment by cheque can be done by submitting 2 cheques; the first for £50.00 will be banked on receipt of the entry and the second for the balance will be banked on Wednesday 2rd June.  These to be made payable to 'Dukeries Motor Club Ltd'  and posted to the Entries Secretary at the address above. Obviously 1 cheque for the total amount due is also acceptable.

    3. You can also use Paypal by visiting the Home page of the event website, www.dukeries-rally.co.uk The fees for each item include the administration charges required by Paypal.
    4. In the payment method box please state  - CHEQUE , MONEY TRANSFER or PAYPAL 
    5. Please write the name of the Driver on the back of your cheque for reference purposes.
    6. Please choose the appropriate entry fee from the drop down selection within the entry fee section.
    7. Within 24 hours of us receiving the payment for your entry you should receive an e-mail confirming your entry from the Entries Secretary.
    8. NOTE: WITHOUT PAYMENT IN ADVANCE YOUR ENTRY WILL NOT BE VALID and therefore you will NOT be taking part.
  4. 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:.entries@dukeries-rally.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.

When entering your ADDRESS in the appropriate box please press return after each part of the address as this will save the entries secretary having to re-type it.

Document Addressing
E-Mail address for communication
Real Name of this person
Whom should we send Finals and Results to?
They will be sent via email to the nominated person.		DriverCo-Driver
Driver
Full Name
Address
Post Code
Telephone Number
Mobile Phone Number
Competition Licence Number
E-Mail Address
Club
Date of Birth
Co-Driver
Full Name
Address
Post Code
Telephone Number
Mobile Phone Number
Competition Licence Number
E-Mail Address
Club
Date of Birth
Car
Make
Model
Colour
Registration Number
Engine Capacity
Forced InductionNo
Yes
Four Wheel DriveNo
Yes
ClassRF1.0 - Cars up to and including 1000cc that comply with the BTRDA Rally First tech. regs. including cars complying with the current F1000 tech. regs.
RF1.4 - Cars up to and including 1400cc that comply with the BTRDA Rally First technical regulations.
1.4 L - All current and former FIA Group N1 cars & cars that comply with a recognised One Make Challenge tech. specs and BTRDA RF Regs but with NON std transmissions.
1.4 C - Cars up to and inc1400cc with a max. of 8v engines and all other cars upto and inc.1,000cc not eligible for F1000 & RF1.0 Classes. 1.4C cars must not be fitted with remote reservoir suspension.
1.4 S - All other non-homologated cars up to and including 1400cc and all current and former FIA Group A5 cars.
N3 - Current & former FIA Group N cars over 1400cc up to and including 2000cc (See SR's for further clarification)
N4 - Current & former FIA Group N cars over 2000cc and FIA Super 2000 cars. (See SR's for further clarification)
B10 - Over 1400cc up to and including 1600cc
B11 - Over 1600cc up to and including 2000cc
B12 - Over 2000cc two wheel drive
B13 - Over 2000cc four wheel drive that do not qualify for Class N4 or WR1.
WR1 - Over 2000cc four wheel drive car with a Sequential Gearbox
H2 - For all cars registered and homologated before 1.1.75.
H3 - For all cars registered and homologated between 1.1.75 and 31.12.81.
Insurers
Name
Address
Auxiliary Service Vehicle Details
Make
Model
Colour
Registration Number
Contact Name
Contact 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

Ward Construction AEMC Stage Rally ChampionshipNo
Driver Only
Co-Driver Only
Both Crew Members
Fostek Engineering ANCC Stage Rally ChampionshipNo
Driver Only
Co-Driver Only
Both Crew Members
Roadrunner Phoenix Awards ANEMMC Stage Rally ChampionshipNo
Driver Only
Co-Driver Only
Both Crew Members
Millers Oils BTRDA 1400 ChampionshipNo
Driver Only
Co-Driver Only
Both Crew Members
Competition Car Insurance EMAMC Stage Rally ChampionshipNo
Driver Only
Co-Driver Only
Both Crew Members
Silverstone Tyres Gold Star ChampionshipNo
Driver Only
Co-Driver Only
Both Crew Members
MG ZR Rally ChallengeNo
Driver Only
Co-Driver Only
Both Crew Members
MSA English Rally ChampionshipNo
Driver Only
Co-Driver Only
Both Crew Members
BTRDA Rally First ChallengeNo
Driver Only
Co-Driver Only
Both Crew Members
Silverstone Tyres Silver Star ChampionshipNo
Driver Only
Co-Driver Only
Both Crew Members

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 ClubYearTypeSurfaceOverall Position

Class Position

Scrutineering

We have limited availabilty for Saturday AM Scrutineering. Please indicate if required.

Saturday AM 7.30am till 8.15am

Fees - see above for how to pay

Entry Fee £

Dukeries Motor Club 2010 Membership

£
Insurance£
AUXILIARY Service Vehicle Pack£
Total Money to be sent £
Payment Method and Details

Entrant (if applicable and not driver)

Full Name
Address
Post Code
Telephone Number
Entrants MSA 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 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 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.."

I declare that the use of the vehicle hereby entered will be covered by insurance as required by the law, which is valid for such part of the event that shall take place on roads as defined by the law.

I understand that should I, at the time of the event be suffering from any disability whether permanent or temporary which is likely to affect prejudicially my control of the vehicle. I may not take part unless I have declared such disability to the ASN which has, following such declaration issued a licence which permits me to do so.

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