Team Entry Form

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Please tick the race(s) you would like to enter and complete the form.

Oulton Park Int - 12th and 13th April, 2013 (4 hrs) £1985 (no VAT)

Donington Park Race 1 - 17th and 18th May, 2013 - (1 hr) £2185 including exclusive testing and both races (no VAT)

Donington Park Race 2 - 17th and 18th May, 2013 (4 hrs)

Snetterton 300 - 7th and 8th June, 2013 (5 hrs) £1985 (no VAT)

Brands Hatch - 30th and 31st August, 2013 (4 hrs) £1995 (no VAT)

Anglesey - 27th and 28th September, 2013 - (3 hrs) £1985 for both races (no VAT)

Anglesey - 27th and 28th September, 2013 - (3 hrs)

Oulton Park International - 11th and 12th October, 2013 (4 hrs) £1985 (no VAT)

(Non-championship) European Cup Snetterton - 8th and 9th November, 2013 (Day Into Night/12 hrs)

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

Entrants/Team Details

Team Name

Team Contact Name

Address Line 1

Address Line 2

Town/City

County/State

Contact Number

Post Code

Telephone No

Email Address

Vehicle Details

Race No

Timing Module No

Entrants Licence No

Sponsor(s) (If applicable)

Driver 1 Details

Drivers Name

Race Licence No

Licence Grade

Club Membership No

Home Town/Country

Address Line 1

Address Line 2

Town/City

County/State

Post Code

Telephone (Home)

Telephone (Office)

Mobile

Next of kin

Next of kin name

Address line 1

Address Line 2

Town/City

County/State

Postcode

Telephone

Driver 2 Details

Drivers Name

Race Licence No

Licence Grade

Club Membership No

Home Town/Country

Address Line 1

Address Line 2

Town/City

County/State

Post Code

Telephone (Home)

Telephone (Office)

Mobile

Next of kin

Next of kin name

Address line 1

Address line 2

Town/City

County/State

Postcode

Telephone

Driver 3 Details

Drivers Name

Race Licence No

Licence Grade

Club Membership No

Home Town/Country

Address Line 1

Address Line 2

Town/City

County/State

Post Code

Telephone (Home)

Telephone (Office)

Mobile

Next of Kin

Next of kin name

Address line 1

Address line 2

Town/City

County/State

Post Code

Telephone

Driver 4 Details

Drivers Name

Race Licence No

Licence Grade

Club Membership No

Home Town/Country

Address Line 1

Address Line 2

Town/City

County/State

Post Code

Telephone (Home)

Telephone (Office)

Mobile

Next of kin

Next of kin name

Address Line 1

Address Line 2

Town/City

Home Town/Country

Postcode

Telephone

Driver 5 Details

Drivers Name

Race Licence No

Licence Grade

Club Membership No

Home Town/Country

Address Line 1

Address Line 2

Town/City

County/State

Post Code

Telephone (Home)

Telephone (Office)

Mobile

Next of kin

Next of kin name

Address line 1

Address line 2

Town/City

County/State

Postcode

Telephone

Driver 6 Details

Drivers Name

Race Licence No

Licence Grade

Club Membership No

Home Town/Country

Address Line 1

Address Line 2

Town/City

County/State

Post Code

Telephone (Home)

Telephone (Office)

Mobile

Next of kin

Next of kin name

Address line 1

Address line 2

Town/City

County/State

Postcode

Telephone

By clicking the “Submit” button below, you are agreeing to the signing of the MSA Declaration in accordance with MSA Regulation [D 13.2.3]

Team Entry Form

Saturday, Jun 08, 2013Round 4 - Snetterton 300

RACE STARTS

CHAMPIONSHIP STANDINGS