Password To allow you to update your entry details later. Keep a note of this.
Name
Address
Address
Address
Town
County
Postcode
Telephone (Day)
Telephone (Evening)
Mobile
Email It is important that this is correct.
Club
Nationality
Choose... British English Welsh Scottish Irish Manx Afghani American Andorian Angolian Anguillan Antarctic Argentine Armenian Arubian Australian Austrian Bahameese Bahrainian Bangladeshi Barbadian Belarusian Belgian Belizean Bermuda Bhutanese Bolivian Brazilian British Bulgarian Cambodian Cameroonian Canadian Chilean Chinese Chinese Columbian Congolese Costa Rican Croatian Cuban Cypriot Czech Danish Dominican Dutch Ecuadorean Egyptian Emirian Estonian Ethiopian Fijian Filipino Finnish French Georgian German Ghanaian Greek Guinean Guyanese Hungarian Icelander Indian Indonesian Iranian Iraqi Irish Israeli Italian Jamaican Japanese Jordanian Kazakhstani Kenyan Korean Kuwaiti Lebanese Lithunian Luxembourger Macau Malaysian Maldivan Mauritian Mayanmarese Mexican Monacan Mongolian Moroccan Namibian Nepalese New Zealander Nigerian Norwegian Omani Pakistani Panamanian Paraguayan Peruvian Polish Portugees Qatari Romanian Russian Saudi Arabian Senegalese Seychellois Singaporean Slovakian Somali South African Spanish Sri Lankan Swedish Swiss Taiwanese Tanzanian Thai Tunisian Turkish Ugandan Ukrainian Uruguayan Uzbekistani Venezuelan Vietnamese Yemeni Zambian Zimbabwean Latvian Competition Licence Number
Championships ESE ESE - The Rix Engineering AEMC/ASEMC Stage Rally Championship
Age
Choose... 17 18+ Name
Relationship
Address
Mobile
At Event?
No
Yes
Name
Relationship
Address Including Postcode
Mobile
At Event?
No
Yes
Name
Address
Address
Address
Town
County
Postcode
Telephone (Day)
Telephone (Evening)
Mobile
Email It is important that this is correct.
Club
Nationality
Choose... British English Welsh Scottish Irish Manx Afghani American Andorian Angolian Anguillan Antarctic Argentine Armenian Arubian Australian Austrian Bahameese Bahrainian Bangladeshi Barbadian Belarusian Belgian Belizean Bermuda Bhutanese Bolivian Brazilian British Bulgarian Cambodian Cameroonian Canadian Chilean Chinese Chinese Columbian Congolese Costa Rican Croatian Cuban Cypriot Czech Danish Dominican Dutch Ecuadorean Egyptian Emirian Estonian Ethiopian Fijian Filipino Finnish French Georgian German Ghanaian Greek Guinean Guyanese Hungarian Icelander Indian Indonesian Iranian Iraqi Irish Israeli Italian Jamaican Japanese Jordanian Kazakhstani Kenyan Korean Kuwaiti Lebanese Lithunian Luxembourger Macau Malaysian Maldivan Mauritian Mayanmarese Mexican Monacan Mongolian Moroccan Namibian Nepalese New Zealander Nigerian Norwegian Omani Pakistani Panamanian Paraguayan Peruvian Polish Portugees Qatari Romanian Russian Saudi Arabian Senegalese Seychellois Singaporean Slovakian Somali South African Spanish Sri Lankan Swedish Swiss Taiwanese Tanzanian Thai Tunisian Turkish Ugandan Ukrainian Uruguayan Uzbekistani Venezuelan Vietnamese Yemeni Zambian Zimbabwean Latvian Competition Licence Number
Championships ESE ESE - The Rix Engineering AEMC/ASEMC Stage Rally Championship
Age
Choose... 14 15 16 17 18+ Name
Relationship
Address
Mobile
At Event?
No
Yes
Name
Relationship
Address Including Postcode
Mobile
At Event?
No
Yes
Make
Model
Registration
CC
Colour
Year
Forced Induction?
No
Yes
Four Wheel Drive?
No
Yes
Class TBA 1 2 3 4 5 6 Class 1 - All cars up to 1400cc.
Class 2 - Cars over 1400cc up to 1600cc.
Class 3 - Cars over 1600cc up to 2000cc or with forced induction engines up to 1300cc.
Class 4 - Two-wheel drive cars over 2000cc.
Class 5 - All four-wheel drive cars not included in Class 6.
Class 6 - All current or former WRC, S2000, R5 and FIA Rally2 specification cars and any derivatives there from.
All forced induction engines over 1300cc are subject to an additional capacity coefficient of 1.7:1.
Seeding Information Please detail the most recent relevant results.
Event Year Status Overall Position Class Position.
Seeding Position Where would you expect to be seeded out of 70?
Distance to travel to the event Miles one way. If multiple vehicles are travelling for your entry, add up the total.
Only the vehicles & crew detailed on the entry form will be able to access the venue.
Extra Registrations If you are towing, or bringing an extra car to the venue, provide the registrations here:
Extra People Full Names and addresses of any extra people who will come with you.
Title
Entry Entry - £375 (up to 16th December 2024 23:59)
Payment Method
Bank Payment 
Payment details will be displayed after the entry is submitted
Anglia Motor Sport Club complies with current data protection legislation. I agree 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 the event.
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