Darlington & District Motor Club Ltd



Darlington & District Motor Club Ltd.

The Easter Sprint – 24th March 2008

Croft Circuit

Entry Form

Held under the General Prescriptions of the Motor Sports Association (incorporating the provisions of the International sporting Code of the FIA) and the Supplementary Regulations

PLEASE PRINT CLEARLY

Drivers Name ………………………………………………………………………………….

Address…………………………………………………………………………………………

………………………………..…………………………………………………………………

………………………………………………………………………………………………….

………………………………………………………………Post Code ……………………..

Tel No. ……………………………………(H) …………………………………...(W)

Email Address …………………………………………………………………………

Comp Lic No. ……………………………..Type ……………………………………..

Car Make ……………………………… Model………………………………………..

Capacity …………………. Shared With ……………………………………………..

Entrants Name …………………………………………………Lic No ………………

Address ………………………………………………………………………………………..

…………………………………………………………………………………………………..

……………………………………………………………Post Code ………………………..

Age (if under 18) ……………………Club & Membership No. ……………………………

Championships Entered ……………………………………………………………….

Event Class entered …………………………

Signatures: Driver ………………………………. Entrant …………………………

Guarantor (where driver under 18) …………………………………………………..

Please return this form with the entry fee (£105) payable to ‘DDMC Ltd’ to: Terry Wright, 98 Ravensdale Road, Darlington, DL3 8DU

Credit Card details (£5 surcharge)

|Card No. | | | |Security No. |Valid from |Expiry |Name on card |

| | | | |(on rear) | | | |

| | | | | | | | |

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Card Address if different from above

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