Wigan & District Motor Club

Entry Form

Event: Compbrake Stages 2021, Three Sisters Race Circuit, Wigan on Sunday 09th May 2021

Entry Closing Date: Friday 30th April 2021

It is the responsibility of the entrant to complete all sections of this form. The Secretary of the Meeting has the right to refuse any incomplete or incorrect entry. Final Instructions, Entry list and results will only be published on the Motor Club web site:-

Driver

Basic Details

(Relevant clubs only please)
Yes
No

Contact, In case of emergency

Driver's Championships

The A.N.W.C.C. Stage Rally Championship 2021
The A.N.W.C.C. Ladies Rally Championship 2021
The A.N.W.C.C Allrounders Championship 2021
The SD34MSG Interclub League 2021 (Supported by Gazard Accounts)
The SD34MSG Stage Rally Championship 2021. (Supported by Gazard Accounts)
The Mini Cooper Challenge 2021 20/2021 Supported by (Rallyme).

Co-Driver

Basic Details

(Relevant clubs only please)
Yes
No

Contact, In case of emergency

Co-Driver's Championships

The A.N.W.C.C. Stage Rally Championship 2021
The A.N.W.C.C. Ladies Rally Championship 2021
The A.N.W.C.C Allrounders Championship 2021
The SD34MSG Interclub League 2021 (Supported by Gazard Accounts)
The SD34MSG Stage Rally Championship 2021. (Supported by Gazard Accounts)
The Mini Cooper Challenge 2021 20/2021 Supported by (Rallyme).

Vehicle Details

CC
Naturally Aspirated
Turbo
Supercharged
Rotary

Sponsor details (if applicable)

Recent Stage Results

Permission

Payment

Please note that we will contact you regarding acceptance and payment.


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