2008 Southern Counties Autocross Championship
Registration Form

Mr/Mrs/Miss/Ms:

Name:

Street:

Town:

County:

Post Code:

Tel Home:

Tel Mobile:

E-mail:

Class Entered:

SELECT A1. Economy Production Saloons up to 1600cc A2. Economy Production Saloons over 1600cc B. Cars up to 1400cc C. Cars over 1400cc up to 1650cc D. Cars over 1650cc E. Specials & Four Wheel Drives

I am a member of the following Club:

1. The Championship is open to all fully elected members of ASWMC, ACSMC, AEMC, LCAMC and ASEMC member clubs. The registration fee entitles contenders to a Registration Card, ASWMC or ACSMC Year Book & periodic Championship Newsletters.
DATA PROTECTION ACT
"Declaration : I wish to participate in, and register for, the 2008 Southern Counties Autocross Championship. I enclose the registration fee of £10.00. I agree to be bound by the Rules of the ACSMC, ASWMC and the Championship Regulations.

Signed:

Date:

Please return form to the Registration Secretary with your cheque for £10.00 made payable to:
" ASWMC "