AUTOTEST & PC AUTOTEST

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16 APRIL 2023

Email *

FULL NAME

ADDRESS

TEL NUMBER

I am aged over 18

Yes

Clear selection

Novice

Yes

I am a member of .....Motor Club

MotorsportUK Licence No

Event

Autotest

PCA

PCA only Passenger name

PCA only I am a member of ...MC

PCA only Motorsport UK Licence No

Person to be advised in case of a serious accident - Name / Relationship / Contact Number / House number & postcode

I have a valid Road Traffic Act Drivers Licence

Yes

Clear selection

Vehicle entered Make and Model

Class entered

Class 1

Class 2

Class 3

Class 4

Class A

Class B

Clear selection

Replicas and class trophies: Please select your choice

A: one award for each event

B: one award to cover all events in the year

Clear selection

Emissions Data: Distance from home to venue (one Way)

Entry fee paid

Bank Transfer see SR's for detail

Cheque / Other

Submit

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