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2009
ASWMC Championship Registration Form |
| Title:
Name:
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| Address:
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| Post
Code:
E-mail:
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Tel:(H)
(M)
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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.
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Signed:
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Date: |
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Championships
(Please
check all boxes of championships that you want to register for) |
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Loose
Stage Rally £15
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Class:
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Hillclimb
£14
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Class:
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Sealed
Stage Rally £15
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Class:
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Sprint
£14
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Class:
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Historic
Stage Rally £10
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Autocross £10
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Class:
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Historic
Rally £10
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Autotest
£FOC
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Class:
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Open Navigational Rally £10
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Sporting Trial £10
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Class:
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Novice
Navigational Rally £10
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Classic Trial £10
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Endurance Rally £10
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Car Trial £FOC
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State
whether: Driver/Co-driver/Navigator:
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Under
21's
Date of Birth:
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Total
(A): £
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ASWMC
Merchandise |
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Windscreen
Badge £0.50
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Clipboard
£5
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Total
(B) : £
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Cloth
Jacket Badge £1.50
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Total
Payable (A + B) : £
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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 |
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Official use only |
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Date
Received:
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2009
Championship Reg No: |