Manx Motor Racing Club	Manx Classic 2020 – Entry Form
FULL MANX CLASSIC EVENT 30th April to 2nd May (saving £65!)	Tick to enter (£475)	Late Fee Applied: Saturday 11th April 2020 Closing Date: Monday 27th April 2020
The Sloc Hillclimb (Port Erin) Thursday 30th April 2020	Tick to enter (£180)
Creg Willey’s Hillclimb (Glen Helen) Friday 1st May 2020	Tick to enter (£180)
Lhergy Frissell Hillclimb (Ramsey) Saturday 2nd May 2020	Tick to enter (£180)
Held under the General Regulations of Motorsport UK (incorporating the provisions of the International Sporting Code of the FIA) and these Supplementary Regulations.

Please complete the form in BLOCK CAPITALS.

A single form may only be used if entering all events using the same vehicle.

Entries can also be submitted online at www.manxmotorracing.com

DRIVER INFORMATION
First Name	Surname
Gender	Date of Birth
Address
Town	County
Post Code	Email
Tel (day)	Mobile
Competition Licence No	Licence Type	Experience:	Expert Novice
Do you hold, or have you ever held, a valid Road Traffic Act Licence?	Yes / No
Club(s)	Manx Motor Racing Club / Aston Martin Owners Club / Austin Healey Club Bentley Owners Club / Bo'ness Hill Climb Revival Limited / Bugatti Owners Club Classic Marques Sports Car Club / Frazier Nash Car Club Ltd / Ferrari Owners Club Hagley & District Motor Club / Jaguar Owners’ Club / Longton & District Motor Club Lothian Car Club / MG Car Club / Midland Automobile Club / Morgan Sports Car Club Morgan Three Wheeler Racing Championship / Porsche Club GB / Pre-War Austin 7 Club Vintage Sports Car Club
Team Name

ENTRANT INFORMATION (if applicable)
First Name	Surname
Company (if applicable)
Address
Post Code	Tel (day)	Mobile
Email	Entrants Licence No

VEHICLE INFORMATION
Manufacturer	Model / Type
Year	Vehicle Reg. No	OR	Not road-going (tick)
Capacity	cc	Options	Turbo / Supercharged / Rotary / 4WD
Fuel	Petrol / Methanol / Diesel / Other	Class
Shared Car?	Other driver’s name	Who drives first?
Does the vehicle have a reverse gear?	Yes / No
Is your vehicle self-starting, at any part of the course?	Yes / No

VEHICLE INFORMATION (continued from Page1)
If not, you are required to declare on this entry form the method of operation together with a detailed starting instruction. Motorsport UK Yearbook S7.1.6 Continue in the overflow box overleaf if required

CONTACT IN CASE OF EMERGENCY (Must be Parent/Guardian for competitor under 18 years old)
Full Name	Phone
Relationship to Driver
Same address as driver?	Yes / No If no, please continue below
Address
Town	Post Code

PAYMENT
Entry Fee - £180 per day or £475 for all three days	£
Membership of Manx Motor Racing Club (£15, if required)	£	Plus
Late Entry Fee - £50 (applies from 11th April)	£	Plus
Our marshals are critical to ensuring our ability to run the event. The club provides marshals with breakfast, lunch and tea/coffee at each event and – for those travelling from outside the Isle of Man – overnight accommodation and travel. If you wish to add a voluntary contribution to the fund, please enter an amount here	£	Plus
Total	£

PAYMENT OPTIONS
I wish to pay by cheque and enclose one payable to Manx Motor Racing Club
OR	I wish to pay by Credit/Debit Card. (We accept Mastercard and Visa at no extra cost)
We cannot hold your card details on file, so if you wish to pay by card please provide some information on when is best to contact you.
Signature * (Parent/Guardian if under 18 years old)

DATA PRIVACY & SECURITY STATEMENT
The data collected in this form is used primarily for organising the Manx Classic event and we will use your details to contact you about the event. We will not share your information with any other organisations unless you opt-in below, and any debit/credit card details you provide ARE NOT stored. View our Privacy Policy for further information on the Club’s website.
Please share my details with other Motorsport UK registered clubs/events that may be of interest to me.

Please ensure the form is fully completed and return to:

Bill Welden, Entries Secretary, 58 Ballachurry Avenue, Onchan, Isle of Man, IM3 4BA.

or scan and email to entries@manxmotorracing.com.

FOR OFFICIAL USE ONLY	Received	Acknowledged
Driver	Entrant	Paid	Completed	Novice	Class	Cheque No