2017 WRGB National Rally Internet Entry Form

Entries to this event are now closed and this page is for record only

 

Welcome to the 2017 WRGB National Rally Online Entry System.
27-29 October 2017.


Please fill out the fields below to submit an entry for the 2017 WRGB National Rally.  All fields marked red are mandatory and must be filled in.

Payment can be made in the following way:
- Online by credit or debit card (there will be a charge of 2.5% for credit card payments, no charge will be made for debit card payments).  Please note we are unable to accept Amercian Express.
- Please note that we are unable to accept payment by cheque or by bank transfer.

Please note that both the entry form and the confirmation of payment must be received by the Rally Office for the entry to be classed as complete.  Your entry will then be confirmed, on a first come, first served basis in accordance with Article 4.3 (Appendix 8) of the Regulations.

The closing date for entries is Tuesday 3rd October 2017. 

If you have any queries please contact rallyoffice@walesrallygb.com or call 01753 765100. We look forward to welcoming you to the 2017 WRGB National Rally.

 

The WRGB National Rally is organised by International Motor Sports Limited on behalf of the Royal Automobile Club Motor Sports Association Limited.

Held under the General Regulations of The Motor Sports Association (incorporating the provisions of the International Sporting Code of the FIA), the 2017 FIA World Rally Championship Sporting Regulations, the Supplementary Regulations for Dayinsure Wales Rally GB and the Supplementary Regulations for the WRGB National Rally.

Details of person making the entry
Email address for all communications (mandatory)
Name (mandatory)
Who should we send all documents and passes to?
Driver
Full Name (mandatory)
Address
Post Code
Telephone Number (Day)
Mobile Number
Competition Licence Number
Competition Licence Issuer
Email Address
Motor Club (Article 10)
Date of Birth
Nationality, as per passport (mandatory)
Driver's Parent or Guardian (under 18 only)
Name
Telephone Number
Relationship
Co-Driver
Full Name
Address
Post Code
Telephone Number (Day)
Mobile Number
Competition Licence Number
Competition Licence Issuer
Email Address
Motor Club (Article 10)
Date of Birth
Nationality, as per passport
Co-Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Car Details
Make
Model
Colour
Registration Number
Engine Capacity
Year
Class Entered
MSA Log Book Number or HTP
Insurers
Insurer's Name
Person to be contacted in case of serious accident to Driver
Name
Telephone Number
Person to be contacted in case of serious accident to Co-Driver
Name
Telephone Number
Past Performance on Rallies
Please ensure you complete this section fully - seeding will ONLY be determined on the information provided
Event Name and ClubYearTypeSurfaceOverall PositionNo. of Starters
Scrutineering
Fees
Entry Fee £
Total Money to be sent£
Payment Method and Details
Entrant (if applicable and not driver)
Name
Address
Post Code
Telephone Number
Nationality
Competition Licence Number
Competition Licence Issuer

Declaration

I declare that all the particulars on this form are accurate to the best of my knowledge and belief and that the use of the vehicle hereby entered will be covered by insurance as required by the law which is valid for such parts of the event that shall take place on the roads as defined by the law. 


I have read the Regulations for this event and agree to be bound by them.

IMS complies with current data protection legislation.  I understand that the information submitted through this form, including names, addresses and contact details, may be published or released to other parties purely for purposes connected with Dayinsure Wales Rally GB and the WRGB National Rally.

 

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