2022 Interest Form | Historic Rally Festival

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Dave Kedward. Credit Greg Charman 1200x350

HISTORIC RALLY FESTIVAL

15th and 16th October 2022

QE2 Arena Telford, Ironbridge Power Station and Weston Park

EXPRESSION OF INTEREST

Step 1 of 4

25%

EVENT DETAILS

Event Date(Required)

I acknowledge and confirm I am able to take part in the event on the date of 15th and 16th October 2022 should my expression of interest be accepted.

I have read, understood and noted the date of the event

Entry Fee(Required)

I acknowledge and confirm I am happy to pay the entry fee of £610 inclusive of fees should my expression of interest be accepted.
I understand that if I withdraw from the Historic Rally Festival up to two months prior to the event I will be refunded my entry fee less £100 and fees.
I understand that if I withdraw from the Historic Rally Festival within two months of the event I will be refunded my entry fee less £450 and fees.

I have read, understood and agree to the fees for the event

PERSONAL DETAILS

Driver's Name(Required)

First Last

Driver's Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Driver's Home Phone

Driver's Mobile Phone(Required)

Driver's Email(Required)

CAR INFORMATION

Image(Required)

Please upload ONE image for the programme and commentator notes. - Must be 1mb in size - Must be Landscape - Must be copyright free - Must free of watermarks and credits

Owner's Name

Please fill this in if different to the above.

First Last

Make of Car(Required)

Model of Car(Required)

Year of Car(Required)

Registration Number(Required)

Type(Required)

- ORIGINAL : an original works car that competed in period - RE-CREATION: a modern re-creation/tribute built out of period - PERIOD RE-CREATION: a rally car built using period parts to create a tribute to the original

Original

Re-Creation

Period Re-Creation

Class(Required)

Group 1

Group 2

Group 4

Group N

Group A

Group B

Early WRC

Specials

History of Car(Required)

CONFIRMATION

Signature(Required)

Date(Required)

MM slash DD slash YYYY

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