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Summer Rallysprint 2010

June 19, 2010

Internet Entry Form

Entries to this event are now closed and this page is for record only

The Regular Entry Fee is $450.00 if paid by June 19, 2010.

$100 Late Fee has been WAIVED !

Entry will close on June 19, 2010 at 10:00.

Entrants who withdraw their entry by June 7, 2010 will receive a refund of the Entry Fee minus $100 administrative fee. NO REFUNDS after June 7.

Registrar: Olga Orisek
Rally New York Summer Rallysprint 2010, Rally New York Ltd., 2488 Route 42, Forestburgh, New York 12777
E-Mail: Eurorally@aol.com
Tel. 845-794-4096
Fax 845-794-4098
Website: www.RallyNewYork.com

Paypal Payments: To account Eurorally@aol.com, 3% Paypal Fee will be added

Payment by Check: Please make checks payable to Rally New York, Ltd.

This gravel rally will be conducted in conformance to the FIA Rally Regulations available at www.fia.com, the Regulations of the New York Rally Championship available at www.RallyNewYork.com and the event Supplementary Regulations available at www.RallyNewYork.com. All these documents are also available from the Secretary of the Rally.

Welcome to the Rally New York Summer Rallysprint 2010 Online Entry system. Please follow the steps below to enter the rally.

  1. Complete all the fields in the form below. The fields with red backgrounds are mandatory.
  2. Once you have hit the "Enter the Rally" button at the end you will receive an automated response confirming we have received your entry form.
  3. Make a payment via Paypal or send a check to the Registrar, above.
  4. Within 24 hours of us receiving the payment for your entry you should receive an e-mail confirming your entry from the Registrar. NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID.
  5. If you don't receive a response within 3 days of the expected payment date, or if you have any other questions, please e-mail Eurorally@aol.com

All the fields with a red background must be filled in, or you will not be able to continue. Please put TBA in any red field which you do not know the details for.

 

Document addressing

E-Mail address for communication
Real Name of this person

Driver

Full Name
Address
Zip Code
Telephone Number
Mobile Phone Number
Competition Licence Number Issued By
E-Mail Address  
Nationality

Co-Driver

Full Name
Address
Zip Code
Telephone Number
Mobile Phone Number
Competition Licence Number Issued By
E-Mail Address  
Nationality

Car

Make
Model
Color
Registration Number Registered in Country
Engine Capacity
Forced Induction No
Yes
Four Wheel Drive No
Yes

Sponsor

Sponsor Name

Championships

New York Rally ChampionshipNo
AWD
2WD
Pre-Mod AWD
Production AWD
Production 2WD

Person to be contacted in case of serious accident to Driver

Name
Address   
Zip Code
Telephone Number
Relationship
Will this person be attending the event?

Person to be contacted in case of serious accident to Co-Driver

Name
Address  
Zip Code
Telephone Number
Relationship
Will this person be attending the event?

Seeding

Please list best results since 2000 - including any championship success.

Event Name and Club Year Type Surface Overall Position No of Starters

Seeding - Competitor Opinion

Out of 60 entries, where do you think you should be seeded?

Fees - see above for how to pay

Entry Fee $
Course Notes$
Total Money to be sent $
Payment Method and details

Entrant (if applicable and not driver)

Full Name
Address
Zip Code
Telephone Number

The details on this form will be held on computer in order to be used for the administration of this event. They will also be used to send you information about future events organised by this club, unless you untick this box to indicate you do not wish to receive information on further events.
The details on this form may also be passed on to other motorsport organisations, unless you untick this box to indicate you do not wish these details passed on.

Remember your entry is subject to receipt of the correct entry fee. An automated acknowledgement is NOT confirmation of entry. Rejected entries and entries held in abeyance will be informed by e-mail to the address(es) given above.

By clicking on the "Enter the Rally" button below you agree to the following: "I declare that all information given on this form is true and correct. I have been given the opportunity to read the FIA General Prescriptions and the Supplementary Regulations for this event and agree to be bound by them. I declare that I am physically and mentally fit to take part in the event and I am competent to do so. I acknowledge that I understand the nature and type of the motor sport competition and the potential risk inherent with motor sport and agree to accept that risk."

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