ALRC National Rally 2012 Internet Entry Form

Competition Entries Close Monday 7th May 2012 10 am
Camping entries Close Friday 26th May 2012 10 am

RTV, CCV, Comp and Team recovery are all now not taking new bookings

Site opens 12 noon Thursday 31st May 2012
Site closes 12 noon, Wednesday 6th June

Entries Secretary: Jim Whiting
12 Cedar Parc,
Lincoln Road,
Doddington,
Lincoln,
LN6 4RR

Telephone 01522 308 612

Held under the General Regulations of the Motor Sports Association, the Association Of Land Rover Clubs and the Supplementary Regulations

Welcome to the ALRC 2012 National Rally Online Entry system. Please follow the steps below to enter the rally.

Complete all the fields in the form below. The fields with red backgrounds are mandatory.
Once you have hit the "Enter the Rally" button at the end you will receive an automated response confirming we have received your entry form.

There are then three ways to pay

If you would like to pay via credit or debit card, you will get a link at this point to take you to Paypal's website, where you can pay for your entry by card. a 4% charge applies to Card and Paypal entries. Note that we do not see your card details at all, this is all handled for us by Paypal.

If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account. The details are:-

Bank	HSBC
Sort Code	40-25-59
Account No.	80043303
Account Name	ALRC National Rally 2012
Reference	Driver's full name.

You can send a cheque, made payable to ALRC 2012 Rally to the Entries Secretary at the address above

Within 24 hours of us receiving the payment for your entry you should receive an e-mail confirming your entry from the Entries Secretary. NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID.
If you don't receive a response within 3 days of the expected payment date, or if you have any other questions, please e-mail entries@alrc2012.co.uk
Refunds. A 20% fee will apply to all refunds, even if the event is cancelled. Individual refunds will be discretionary.
Double or tripple entries (RTV & CCV) only; you will need to complete an online application for each driver, indicating it is a double entry and the name of the other person.
TYRO entries will be permitted on the day of the event.
An early booking discount has been applied to all prices until 1st April 2012. After this point all entries will increase by £5. This will also apply to payments received after this date.
As an extra incentive, all entries received and payed for before 1st March will be entered into a prize draw for free camping at the event.

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.

Booking Details
E-Mail address for communication
Name of person making booking
Booking details
Name of competitor
Address
Post Code
Home Town
Telephone Number
Mobile Number
E-Mail Address
Club	Non Member camping only 101 Forward control Anglian Land Rover Club Aylesbury LR Fanatics Breckland LRC Cheltenham and Cotswold LRC Chiltern Vale LRC Cornwall & Devon LRC Cumbrian ROC Discovery Owners CLub Dorset LRC Dunsfold Collection East Northants LRC Essex LRC Hants and Berks LRC Lancs & Cheshire LRC Land Rover Register Land Rover Series 1 Club Land Rover Series 11 Club Leics & Rutland LRC Lightweight LRC Lincs LRC Liverpool LROC Merseyside LROC Midland ROC Newcastle & Nantwich ROC North Eastern ROC North Wales LROC Nottingham LROC Peak & Dukeries LRC Red Rose LRC Scottish LROC Somerset & Wilts LROC South Coast ROC Southern ROC Staffs & Shrops LRC Wye & Welsh LRC Yorkshire LROC Overseas Club
Membership number
Main tow vehicle
Registration Number
RTV Details
Class	1. Standard Leaf up to 84 2. Standard Leaf 84 to 90 3. Standard Leaf Over 90 4. Standard Coil upto 95 5. Standard Coil over 95 6. Modified Leaf upto 84 7. Modified Leaf 84 to 90 8. Modified leaf over 90 9. Modified Coil up to 84 10. Modified Coil 84 to 95 11. Modified Coil over 95 I do not know my class
Double entry with
RTV Discovery Y/N	No Yes
RTV standard Diesel Y/N	No Yes
CCV Details
CCV Class	1. Standard Leaf up to 84 2. Standard Leaf 84 to 90 3. Standard Leaf over 90 4. Standard Coil up to 95 5. Standard Coil over 95 6. Modified Leaf up to 84 7. Modified Leaf 84 to 90 8. Modified Leaf over 90 9. Modified Coil up to 84 10. Modfied Coil 84 to 95 11. Modified Coil over 95 I don't know my class
Double entry with
CCVT over 55 Y/N	No Yes
Comp details
Class	1. Standard Leaf upto 2L petrol or 2.3 Diesel 2. Standard Leaf 2L-2.5l petrol or 2.5l diesel 3. Standard 90 petrol or non-turbo diesel 4. Standard SWB with turbo diesel 5. Standard LWB coil 6. Modified leaf up to 3000cc 7. Modified Leaf above 3000cc 8. Modified Coil up to 3600cc 9. Modified Coil over 3600cc I do not know my class
MSA Licence Number
Tyro Details
Class	Hold driving licence Does not have a driving licence
Day required	Saturday entry Sunday entry
Nameof driver
Team Recovery details
Team member name
Bike Trial
Names & Age for Bike trial
Person to be contacted in case of serious accident to Driver
Name
Address
Post Code
Telephone Number
Relationship
Will this person be attending the event?
Fees - see above for how to pay
Entry Fee inc ALRC Levy	£
Camping pitch 9m x 11m	£
Additional vehicle passes	£
TYRO entry	£
ENTRY CLOSED	£
ENTRY CLOSED	£
ENTRY CLOSED	£
ENTRY CLOSED	£
Concours D'Elegance	£
Children's Bike trial	£
Please Make a donation to race2recovery (registered charity No. 1143805) see website for full details. Race2recovery will receive the full amount of all donations and a presentation will take place at prize giving	£
Total Money to be sent	£
Payment Method and Details	Cheque in the post Paypal Bank card Bank transfer
Comments
Anything else you'd like to tell us

The details on this form will be held on computer in order to be used for the administration of this event. They will also be used to send you information about future events organised by this club, unless you untick this box to indicate you do not wish to receive information on further events.
The details on this form may also be passed on to other motorsport organisations, unless you untick this box to indicate you do not wish these details passed on.

By clicking on the "Enter the Rally" button below you agree to the following: "I declare that I have read the conditions of entry and will abide by the rules of the ALRC and the General Regulations of the Motor Sports Association and, if any, the Supplementary Regulations for this event and agree to be bound by them. I declare that I am physically and mentally fit to take part in the event and I am competent to do so. I acknowledge that I understand the nature and type of the competition and the potential risk inherent with motor sport and agree to accept that risk."

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