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On-line 2012 Registration

Please send the appropriate payment (made payable to SRC Car Club Ltd) to:
Alex Lindsay, 20 Reid Street, Hamilton, ML3 0RQ
Personal Details
Information on this page may be used on the Championship web site unless the 'No Publicity' box is ticked.
Competition Licence Number:
Email Address:
First Name:
Last Name:
Address 1:
Address 2:
Town:
Postcode:
Home Tel:
Work Tel:
Fax:
Mobile:
District:
Car Club:

Vehicle and Class Details
Car Make:
Car Model:
CC:
Reg. Number:
Colour:
Turbo:
Class:

Championship Eligibilities
Driver: Co-Driver:
1300: SRC Junior:
Clubmans 2-Wheel Drive: Ladies:
DMack Gp N: F2:
DMack Junior: Mitsubishi Motors GpN
2 Wheel Drive Challenge: Mitsubishi Motors Open

Media Informaiton
Date of Birth:
Children:
Occupation:
Other Hobbies:
When did you first compete in motorsport?
Notable success/previous best results
What competition cars have you previoiusly driven?
Sponsorship details (including website address)
Team details (including website address)
Future plans / Other points of interest
Local TV/Radio Stations
Local Newspapers

Payment Details

Please select your payment option:



I qualify for the Championship in the categories I have indicated above, and I agree to be bound by the Championship Regulations, which I have read. Registration is not complete until correct remittance (cheques/PO's to be made payable to the 'SRC Car Club Ltd') is in the possession of Robert Beck, 7 Fullarton Road, PRESTWICK, KA9 2BT. (Tel. 01292 671820 / 07554 995351. E-mail: rb@srcweb.co.uk).



 

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