2009 ASWMC Championship Registration Form
Title: Name:
Address:
Post Code: E-mail:
Tel:(H) (M)

1. Championships are open to all fully elected members of ASWMC member clubs. The registration fee entitles contenders to a Registration Card, ASWMC Year Book & periodic Championship Newsletters.
2. Championship contenders MUST nominate, in the box below, the ASWMC club to which points in the Club Championship will be allocated.

NB. Only one club may be nominated.
3. Contenders for Stage Rally, Autotest, Autocross, Sporting Trials, Hillclimb & Sprint Championships MUST nominate the class in which championship points are to be allocated. Contenders wishing to change class MUST inform the appropriate Championship Co-ordinator before competing in a new class. Failure to do so may result in loss of championship points.


Signed:

Date:
Championships
(Please check all boxes of championships that you want to register for)
Loose Stage Rally £15
Class:
Hillclimb £14
Class:
Sealed Stage Rally £15
Class:
Sprint £14
Class:
Historic Stage Rally £10
 
Autocross £10
Class:
Historic Rally £10
 
Autotest £FOC
Class:
Open Navigational Rally £10
 
Sporting Trial £10
Class:
Novice Navigational Rally £10
 
Classic Trial £10
 
Endurance Rally £10
Car Trial £FOC
 
State whether: Driver/Co-driver/Navigator:
Under 21's Date of Birth:
Total (A): £
ASWMC Merchandise
Windscreen Badge £0.50
Clipboard £5
Total (B) : £
Cloth Jacket Badge £1.50
Baseball Cap £9.50
Total Payable (A + B) : £
Please make cheques payable to:"ASWMC" and return with the completed form to the
Registration Secretary:

Mrs J Loveys,106 Evering Avenue, Poole, Dorset.BH12 4JH
Official use only 
Date Received:
2009 Championship Reg No: