Entries Close: 10:00am 5th July 2003

Entries Secretary: Andrea Atkinson
22 Potterdale Drive
Little Weighton
Cottingham
HU20 3UX.
Telephone 01482 876400
Fax: 01482 849213
e-mail: am@bdmc.org.uk

Held under the General Regulations of the Motor Sports Association (incorporating the International Sporting Code of the FISA) and these Supplementary Regulations


You can enter the Rally here without having to pick up a pen! To make an entry, fill in the form below, exactly as you would fill in the paper form.

Once we receive the entry, we will send you an acknowledgement of entry via e-mail.

You can still receive Final Instructions in paper form, and in all other respects your entry will be just the same as if you had sent a copy of the paper form in. Obviously, you still need to pay your entry fee, and to do this, you need to arrange for your bank to send the appropriate amount to our bank account with the following details:-

BankHSBC Bank plc
Sort Code40 25 15
Account Number61121758
Account NameBeverley & District Motor Club Stage Rally

If your bank offers Telephone Banking, you should be easily able to do this via the phone. If you do this, you will be asked for a reference which identifies the transaction. Please give the Driver's Full Name, so that we can identify each individual payment.

If you do not have telephone banking yet, you should be able to pay the entry fee over the counter of your bank branch, once you tell them the details given above. Unfortunately, the bank then does not give a reference to us, so to allow us to identify the transaction, please fill in the box below with details of the bank and branch where you will be making the payment. Alternatively, if this is all too difficult, you can always post us a cheque, made payable to Beverley & District Motor Club.

If you have any questions, please send us an email.

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 Navigator
How would you like to receive Finals and Results? E-mail/Website Posted Paper

Driver

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

Navigator

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

Car

Make & Model
Colour
Registration Number
Class E - Expert
S - Semi Expert
N - Novice
C - Clubman

Insurance Details

Insurance Method
NES Number if using Marsh Scheme
Name of Insurers if not using Marsh scheme

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 Navigator

Name
Address  
Post Code
Telephone Number

Seeding - Past Performance on Road Rallies by Navigator Only

Event Name and ClubDateTypeOverall 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 2003 Membership £
Marsh Insurance Scheme £
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

Once you click the 'Enter the Rally' button below, your entry will be sent to the Entries Secretary, who will acknowledge it within about one day. If you have not received an acknowledgment within 4 days, please e-mail am@bdmc.org.uk and we will endeavour to sort out the problem. Please note that this entry is subject to the correct fees being paid and that if this is not done, the entry will be considered withdrawn, even if an acknowledgement has been sent. Rejections of entries will also be sent to the e-mail address given above. Please note that this method of entry can only be used where both the driver and co-driver are 18 or over, as otherwise we require a signature from a parent, and this cannot be achieved using this method. Please contact the Entries Secreatary if this is the case to arrange for a paper style Entry Form.