Toddsleap.com Ulster International Rally 2009 Internet Entry Form

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

Entries Close for seeding on Monday 3rd August at 17:00 hours

Entries Secretary: Paul Biggerstaff
9 Montague Park
Tandragee
Co Armagh
BT62 2 NU
Telephone 07753 846 734
Fax +44(0)8712 638 545
e-mail: pbiggerstaff@ulsterrally.com

Held under the General Regulations of the Motor Sports Association (incorporating the International Sporting Code of the FISA) and the Supplementary Regulations

Welcome to Toddsleap.com Ulster International Rally 2009 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. There are then three ways to pay
    1. If you would like to pay by credit or debit card, you can do so when you have completed the Entry Form and hit the 'Enter the Rally' button. Print off the  'Thanks for your Entry' page complete the Card details section and post to the Entries Secretary at the above address.    Paying by Credit Card will incur a 3% fee and by Debit Card a 1% fee and the appropriate fee is added on to the total due. Note: Credit and Debit card payments will be in Sterling.
    2. If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account. The details are:-
      Bank TBA
      Sort Code TBA
      Account No. TBA
      Account Name TBA

      Reference

      Swift Code

      IBAN

      Driver's full name.

      TBA

      TBA
    3. You can send a cheque, made payable to 'The Northern Ireland Motor Club Ltd' to the Entries Secretary at the address above. Payment may be made in Euro at the rates stated in the Supplementary Regulations and page 4 of the Paper Entry Form. Please print Drivers name on the back of the cheque 
  4. Within 24 hours of us receiving the payment for your entry you should receive an e-mail to acknowledge your entry, from the Entries Secretary. 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 pbiggerstaff@ulsterrally.com
  6. PLEASE RECORD YOUR MOBILE NUMBERS IN INTERNATIONAL FORMAT WITHOUT ANY SPACES e.g.  +447756234654  or +353872349876.   The SMS text message service for your Start and Re-start times will be sent to the Co-driver. However if the Driver wants to receive this service please type SMS after the Drivers mobile number

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
Whom should we send Finals and Results to? DriverCo-Driver
Driver
Driver Full Name
Address
Post Code
Telephone Number
Mobile Phone Number
Competition Licence Number
Competition Licence Issuer
E-Mail Address

Town  (For Entry Form)

Date of Birth
Co-Driver
Co-Driver Full Name
Address
Post Code
Telephone Number
Mobile Phone Number
Competition Licence Number
Competition Licence Issuer
E-Mail Address

Town (For Entry Form)

Date of Birth
Car
Make
Model
Colour
Registration Number
Engine Capacity
Class1 - R1, N1 and N2
2 - R2, A5 and A6
3 - R3, N3, S16 and A7
4 - R4, N4, S2000 and A7 Kit
5 - A8 and WRC

Year of Manufacture

FIA Homologation Number

Insurance 
If you require cover under the Lockton Motor Sports Road Traffic Scheme, payment may be made with your entry or at Admin Checks. 
If you are arranging your own Road Traffic cover, please provide details below.

Name and Policy Number
Address

Service Vehicle

Make
Model
Colour
Registration Number
Contact Name
Contact Number

Management Vehicle

Make
Model
Colour
Registration Number
Contact Name
Contact Number

Motorhome

Make
Model
Colour
Registration Number
Contact Name
Contact Number

Championships

British Rally Championship No
Driver Only
Co-Driver Only
Both Crew Members
UK Citroen C2R2 ChampionshipNo
Driver Only
Co-Driver Only
Both Crew Members
Clio R3 West European TrophyNo
Driver Only
Co-Driver Only
Both Crew Members
Irish Mitsubishi Evolution ChallengeNo
Driver Only
Co-Driver Only
Both Crew Members
UK Mitsubishi Evolution ChallengeNo
Driver Only
Co-Driver Only
Both Crew Members
Irish Fiesta Sporting TrophyNo
Driver Only
Co-Driver Only
Both Crew Members
UK Fiesta Sporting TrophyNo
Driver Only
Co-Driver Only
Both Crew Members
Irish Tarmac Rally ChampionshipNo
Driver Only
Co-Driver Only
Both Crew Members
Swift Sport CupNo
Driver Only
Co-Driver Only
Both Crew Members
British Rally Championship - Teams ChampionshipNo
Driver Only
Co-Driver Only
Both Crew Members

Person to be contacted in case of serious accident to Driver

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

Seeding Information 

Please detail the best 5 results achieved by the First Driver on asphalt during the last 3 years

We can only seed you on the information you supply - please give as much detail as possible

Event Name and ClubYearTypeOverall PositionNo of Starters

Scrutineering

Please indicate your preferred Scrutineering Times. Note that preference is given to early entries.

Friday 08:00 - 09:00
Friday 09:00 - 10:00
Thursday 17:30 - 18:30
Thursday 18:30 - 19:30
Thursday 19:30 - 20:30
Which day do you plan to carry out Reconnaissance  Sunday
Thursday
No Recce
Participating in Shakedown? Yes
No
Would you like your Road Book posting? Yes
No

Fees - see above for how to pay

Entry Fee £
Insurance£
Shakedown Entry £
Management Plate £
Motorhome Plate £
Late Entry Fee£
Total Money to be sent £
Payment Method and Details

Entrant (if applicable and not driver)

Full Name
Address
Post Code
Telephone Number
Competition Licence Number
Competition Licence Issuer
Comments

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 I have been given the opportunity to read the General Regulations of the Motor Sports Association and, if any, 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 competition and the potential risk inherent with motor sport and agree to accept that risk. Further, I understand that all persons having any connection with the promotion and/or organisation and/or conduct of the event are insured against loss or injury caused through their negligence.."

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