Farnborough District Motor Club - Sprint Royale - ENTRY FORM - 8th October 2017
Held under the General Regulations of the MSA Ltd (incorporating the provisions of the International Sporting Code of the FIA) and the Supplementary Regulations.

If you have any problems, Please telephone the Entries Secretary.

CLOSING DATE = Friday 29th September
or telephone the Entry Secretary (Tel no in Regs)

DRIVER DETAILS
Full Name *
Your answer
Full Postal Address with Post Code *
Your answer
Telephone contact Numbers *
D/E/M Day/Evening/Mobile
Your answer
eMail *
For Entry confirmation, Final Instructions & Results
Your answer
LICENCE, CLUB & CHAMPIONSHIP DETAILS
Motor Club *
You must be a Member of an MSA recognised Club which is affiliated to either of the ACSMC or ASWMC or AEMC. You can join FDMC on the day, or apply on-line in advance to save time on the day.
Club Membership Number *
You will need to show a valid Club Membership card at event registration, or join FDMC on the day.
Your answer
MSA Competition Licence Number *
You will need to show a valid MSA card at event registration, applicable for National B Speed level
Your answer
RTA (Driving) Licence *
Have you thge driver held an RTA (Driving) Licence (Reg S 7.1.6)
Championship Details
You will need to show a valid championship card at event registration.
Championship Registration Numbers (s)
if applicable
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 *
Your answer
Model *
Your answer
Registration Number *
if applicable
Your answer
Colour *
Your answer
CCs *
EXACT 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
PAYMENT DETAILS
Paypal - Online Payment via "PAY-NOW" button from Event Entry Page.
Paypal - Paypal Account
Paypal - Credit or Debit Card (You do not need a PayPal account.)
Cheques - Payable to "Farnborough District MC"
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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