Clwyd Vale Motor Club
BTRDA  
Please complete the entry form in full - some questions are mandatory!
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Drivers Name *
Date of Birth if under 25 at time of event
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/
DD
/
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Address *
Post Code *
Telephone Number *
Email Address (This will be Used for Correspondence) *
Club Membership
MOTORSPORT UK COMPETITION LICENCE NUMBER *
NEXT OF KIN DETAILS FOR DRIVER - Please give name, relationship and telephone number *
Championships Entered *
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