White Rose Classic Tour Entry Form
Name .................................................................................................................. Address .................................................................................................................. .................................................................................................................. .................................................................................................................. Postcode ............................................... Telephone No. ............................................... Email address ...............................................
Co-driver's and Passenger/s / name/s .............................................................. .............................................................. .............................................................. If any of the above is under the age of 16 give the Parent or Guardian's name ............................................................... and tick here..... to give your consent for him/her to enter the tour and give your......
Signature .............................................. .
Details of Car Make and model .............................................................. Year of registration ........................ Registration number ........................ Colour ........................
The entry fee (including 2 breakfasts) is .............£18.00 Extra breakfasts for any additional passengers can be purchased off the hotel.
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.
Signature............................................... Date ...........................
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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
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