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ROBIN ALEXANDER 10 SEPT 2022
Robin Alexander Trial 10 September 2022
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YOUR EMAIL ADDRESS
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DRIVER - FULL NAME
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ADDRESS including PostCode
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I am aged over 18
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No
I am a member of ......Motor Club
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Motor Club membership number
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Motorsport UK Licence Number
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Tel Number
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Person to contact in case of a serious accident - Name / Relationship / Contact Number
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PASSENGER - FULL NHAME
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ADDRESS including Post Code
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I am a member of ....Motor Club
Your answer
Motor Club membership number
Your answer
Motorsport UK Licence Number
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Person to contact in case of a serious accident - Name / Relationship / Contact Number / House No & Postcode
Your answer
Championship Entered
ASWMC
BTRDA
Make of car
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CC
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Class
1 - Expert Independent
2 - Excprt Live
3 - Intermediate Independent
4 Intermediate Live
5 - Rookie
6 - All others
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Entry fee paid by
Bank Transfer see SR 12
Cheque
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