Warrington & District Motor Club

Wigan & District Motor Club

Entry Form

Event: Adgespeed/JRT Stages 2020, Three Sisters Race Circuit, Wigan on Sunday 11th October 2020

Entry Closing Date: Friday 09th October 2020

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. The entrant is responsible for sending this form with the appropriate entry fee to the Entry Secretary, who will acknowledge your entry by E mail. Final Instructions, Entry list and results will only be published on the Motor Club web site:- www.warringtondmc.com

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 2020
The A.N.W.C.C. Ladies Rally Championship 2020
The ANWCC Allrounders Championship 2020
The A.N.C.C. Northern Stage Rally Championship 2020 Tarmacadam Challenge
The 6R4.com Three Sisters Rally Challenge 60 2020
The SD34MSG Interclub League 2020 (Supported by Gazard Accounts)
The SD34MSG Stage Rally Championship 2020. (Supported by Gazard Accounts)

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 2020
The A.N.W.C.C. Ladies Rally Championship 2020
The ANWCC Allrounders Championship 2020
The A.N.C.C. Northern Stage Rally Championship 2020 Tarmacadam Challenge
The 6R4.com Three Sisters Rally Challenge 60 2020
The SD34MSG Interclub League 2020 (Supported by Gazard Accounts)
The SD34MSG Stage Rally Championship 2020. (Supported by Gazard Accounts)

Vehicle Details

CC
Naturally Aspirated
Turbo
Supercharged
Rotary

Sponsor details (if applicable)

Recent Stage Results

Permission

Payment

The entry fee for this event is £ 195

Competitors entries will remain pending until full payment has been received & cleared by the bank.

Please select which payment method you will be using:

Bank Transfer

BACS Transfer

BACS transfers can be made to: - Lloyds Bank. Sort Code:- 30 17 48 Account number:- 00145819

Account Name:- Wigan & District Motor Club (Rally Account).

Please use driver or co-driver's name as a reference.


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