FDMC Spring SOLO - ENTRY FORM - 14th May 2017 - Buller Barracks
Held under the General Regulations of the MSA Ltd (incorporating the provisions of the International Sporting Code of the FIA) and the Supplementary Regulations.

CLOSING DATE = End of TUESDAY 9th May.
Thereafter, telephone the Entry Secretary.

DRIVER DETAILS
Full Name
Your answer
Address
Your answer
Phone Numbers
D/E/M Day/Evening/Mobile
Your answer
Date Of Birth, if under 17.
MM
/
DD
/
YYYY
Email Address
For Entry confirmation, Final Instructions & Results
Your answer
Do you hold a current RTA (Driving) Licence
Passenger Name (must have RTA licence) or N/A
ONLY "IF" driver has no RTA licence
Your answer
Passenger Experience
Is passenger Experienced in Autotest or Autosolo?
CLUB DETAILS
Motor Club
You must be a Member of an MSA recognised Club. Re read the regulations if you need to join a club, or join on the day.
Club Membership Number
You will need to show a valid card at event registration, or join on the day.
Your answer
NEXT OF KIN DETAILS
Only to be used in the case of an emergency
Next of Kin : Name & Relationship
Your answer
Next of Kin Telephone details
Your answer
CAR DETAILS
Make & Model
Your answer
Registration Mark
Your answer
CCs
Cubic capacity e.g. "1598" , just enter the numeric digits
Your answer
Forced Induction
Turbo or Supercharger ?
Rotary Engine
Fuel
ENTRY DETAILS
Class
You are confirming that your car is eligable for this class. See notes in Regs.
Car Sharing / Double Driven
If "yes", state Name of other Driver, else enter "No"
Your answer
"Clubman" or "BTRDA National-B" licence holder
BTRDA Championship drivers will be National-B and must enter MSA licence number in "other" field.
Required
PAYMENT DETAILS - £45 (£10 for under 21s)
Paypal - Online Payment via "PAY-NOW" button from Event Entry Page. You can use Paypal with a Credit or Debit card and you do not need a PayPal account.

Cheques - Payable to "Farnborough District Motor Club"

Payment Method
DECLARATION of INDEMNITY
Please read the Declaration Page from the Entry Regulations
Required
Drivers under the age of 18 on the day of the event.
This person is your Parent/Gardian and will have to sign for you at Registration, Enter their Name, Address, Tel and relationship below.
Your answer
ENTER THE EVENT
ENTER THE EVENT Please check your form and then Click the Submit button below. Enter any further details below.
Your answer
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