White Rose Classic Tour

                                                                     Entry Form 

Name                               ..................................................................................................................

Address                           ..................................................................................................................

                                         ..................................................................................................................

                                         .................................................................................................................. 

Postcode                           ...............................................

Telephone No.                  ...............................................

Email address                   ...............................................

HRCR Membership No.   ...............................................  (applicable to HRCR members only)

Navigator's name                                                               ..............................................................

(Additional passengers are allowed at no extra charge)

If any of the above is under the age of 16 give the

Parent or Guardian's name                                               ...............................................................

and tick here..... to give consent for him/her to take part in the tour.

                                                                        Signature   ................................................................

 .

Details of Car

Make and model                                                                ...............................................................

Year of registration                                                                                                  ........................

Registration number                                                                                                 ........................

Colour                                                                                                                        ........................

The entry fee is........£35.00

which includes breakfast and tea for driver and navigator.

Extra breakfasts and teas for any additional passengers can be purchased at the two venues.

I have read the regulations governing this event and I agree to adhere to them. I confirm

that I have a minimum of third party insurance for a touring event.

                                                                                           Signature................................................

                                                                                           Date                             ...........................

                                                           *******************************

PRINT OFF this form and send with your cheque payable to Lindholme Motor Sports Club to...

The Entries Secretary

Brooklands

11 Shelley Rise,

Adwick-le-Street,

Doncaster.

DN6 7BS