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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 H NW H - HRCR Historic Road Rally Championship.
NW - ANWCC Historic Road Rally Championship.
Age
Choose... 17 18 19+ 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 H NW H - HRCR Historic Road Rally Championship.
NW - ANWCC Historic Road Rally Championship.
Age
Choose... 12 13 14 15 16 17 18-24 25+ 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
Fuel TBA Petrol Diesel Petrol Hybrid Diesel Hybrid Electric Other
Front Tyre(s) What make/type/size of front tyres will you use?
Rear Tyre(s) What make/type/size of rear tyres will you use?
Waiver Needed for?
Cylinders > 4.
Carburetter chokes > 2.
More than 1 camshaft per bank.
Turbocharger.
Category 2, Category 3, Category 4a or Category 4b cars that do not fully comply with NCR Ch. 13 App. 15 Art. 3.1-3.4 may be considered for acceptance subject to the organisers being granted specific waivers by Motorsport UK in accordance with Ch. 13 App. 15 Art. 11.3.
Make & Model of Tripmeter fitted to car.
Class M1 M2 M3 M4 M5 M6 E1 E2 E3 E4 E5 E6 N1 N2 N3 N4 N5 N6 B1 B2 B3 B4 B5 B6 C1 C2 Interclub Event:
M1 Masters in cars with a specification valid on or pre 31/12/1959 (Cat 1 for these dates).
M2 Masters in cars with a specification valid between 01/01/1960 and 31/12/1967 (Cat 1 for these dates).
M3 Masters in cars with a specification valid between 01/01/1968 and 31/12/1974 (Cat 2).
M4 Masters in cars with a specification valid between 01/01/1975 and 31/12/1981 (Cat 3).
M5 Masters in cars with a specification valid between 01/01/1982 and 31/12/1985 (Cat 4a).
M6 Masters in cars with a specification valid between 01/01/1986 and 31/12/1990 (Cat 4b).
E1 Experts in cars with a specification valid on or pre 31/12/1959 (Cat 1 for these dates).
E2 Experts in cars with a specification valid between 01/01/1960 and 31/12/1967 (Cat 1 for these dates).
E3 Experts in cars with a specification valid between 01/01/1968 and 31/12/1974 (Cat 2).
E4 Experts in cars with a specification valid between 01/01/1975 and 31/12/1981 (Cat 3).
E5 Experts in cars with a specification valid between 01/01/1982 and 31/12/1985 (Cat 4a).
E6 Experts in cars with a specification valid between 01/01/1986 and 31/12/1990 (Cat 4b).
N1 Novices in cars with a specification valid on or pre 31/12/1959 (Cat 1 for these dates).
N2 Novices in cars with a specification valid between 01/01/1960 and 31/12/1967 (Cat 1 for these dates).
N3 Novices in cars with a specification valid between 01/01/1968 and 31/12/1974 (Cat 2).
N4 Novices in cars with a specification valid between 01/01/1975 and 31/12/1981 (Cat 3).
N5 Novices in cars with a specification valid between 01/01/1982 and 31/12/1985 (Cat 4a).
N6 Novices in cars with a specification valid between 01/01/1986 and 31/12/1990 (Cat 4b).
B1 Beginners in cars with a specification valid on or pre 31/12/1959 (Cat 1 for these dates).
B2 Beginners in cars with a specification valid between 01/01/1960 and 31/12/1967 (Cat 1 for these dates).
B3 Beginners in cars with a specification valid between 01/01/1968 and 31/12/1974 (Cat 2).
B4 Beginners in cars with a specification valid between 01/01/1975 and 31/12/1981 (Cat 3).
B5 Beginners in cars with a specification valid between 01/01/1982 and 31/12/1985 (Cat 4a).
B6 Beginners in cars with a specification valid between 01/01/1986 and 31/12/1990 (Cat 4b).
Clubmans Event:
C1 - Masters and Experts
C2 - Novices and Beginners
Experience definitions for both events are as follows:
”Master” a crew where any member has had four or more finishes in the top ten places overall of an Interclub, National B or higher status historic road rally in the last three years.
”Expert” a crew which does not meet the qualifying requirements herein for Master, Novice or Beginner.
”Novice” a crew in which no member has had four or more finishes in the top twenty five places overall of an Interclub, National B or higher status historic road rally in the last three years.
”Beginner” a crew in which no member has previously competed in more than three competitive road rallies (including 12 car rallies, but excluding scatter events, treasure hunts and touring assemblies).
Choices Towing to the event.
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 75?
Distance to travel to the event Miles one way. If multiple vehicles are travelling for your entry, add up the total.
Special Dietary Requirements Give name and requirements.
Scrutineering Friday Saturday
Title
Insurance
Own Insurance
REIS - £34
Insurance Declaration
I am aged 19 or over
I have held a full UK / EU Driving Licence for a minimum of 6 months
I have no more than 6 points on my licence and no bans of any kind
I have had no more than 1 fault claim in the last 3 years
I do not have the Third-Party Extension cover on my existing motor policy
My vehicle has a valid MOT & is taxed for the road, unless exempt from doing so
I am named on a valid motor insurance policy for the vehicle I am driving
Anyone aged less than 19 years old will also be accepted at the same price should their co-driver be a more senior member of their family or over 25. Any competitor who falls outside these parameters may be offered cover at equivalent terms or an agreed price, if approval from the Appointed Insurance Broker has been obtained by the event organisers, prior to the event.
If using the event REIS insurance, do you comply with the Declaration? No Yes Own Insurance If you choose No, you will be sent a Declaration Form to complete.
Insurance company name, address and telephone number
Policy No.
Event Interclub Clubman Interclub - Main Interclub Event Clubman - Clubman Event
North West Air Ambulance Donation £
Entry Entry - £220 (up to 14th February 2025 23:59)
Knutsford & District MC Membership - Driver
Not Needed
Membership - £15
Household Membership - £20
Household Membership Names
Names of other members for Household Membership.
Knutsford & District MC Membership - Navigator
Not Needed
Membership - £15
Household Membership - £20
Household Membership Names
Names of other members for Household Membership.
Payment Method
Bank Payment 
Cheque
Payment details will be displayed after the entry is submitted
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