The Mac 4x4 Challenge 2011 - "10/100"
Thursday 3rd to Sunday 6th March 2011
The 2011 mac FOR Macmillan 2011
ABOUT THE MAC 4x4
This is the 10th run of the Mac 4x4 – a test of navigational skills, observation, on and off road driving ability and endurance; by day and night. It is also the 100th anniversary year of Macmillan Cancer Support. Each team consists of two people only and it is strongly recommended that both are licensed and insured to drive the vehicle for the event
RESERVE LIST APPLICATION FORM
DETAILS DRIVER No 1 DRIVER No 2 /Co-Driver
Surname:
Forenames:
Address 1:
Address 2:
Address 3:
Postcode:
Phone (Home):
Mobile No.
Email
NOTE: ALL CORRESPONDENCE WILL BE VIA THE DRIVERS EMAIL ADDRESS ABOVE
VEHICLE DETAILS
Make Model Capacity
Fuel
Please make a selection.
Reg: Wheelbase

ENTRY FEE (DO NOT SEND ANY CHEQUE UNTIL REQUESTED)
The basic Entry Fee, which is to cover the expenses of the event, and is non-refundable once a place is confirmed, is £250 per team. In addition there will be insurance which covers the duration of the event. This is compulsory for anyone driving during the course of the event. Details will be released later (Guide cost £27.30 per driver in 2010 subject to additions for age and medical conditions)
ACCOMMODATION
Nights sleeping stops vary and may entail sleeping in or beside the vehicle. On Sunday night, each team will have a twin room with two places at the Presentation Dinner at the De Vere Daresbury Park Hotel near Warrington: included in the Entry Fee, (less personal drinks and extras).
SPONSORSHIP
All teams are asked to raise a minimum of £600 in sponsorship which will all go to Macmillan Cancer Support.  If you wish to take part in the Mac 4x4 2011 please sign here:-

Signature

Date

Please send this form to :
Peter Rowland, Courtyard Barn, Eaton Bishop, HEREFORD. HR2 9QD

Confirmation of your successful application and your allocated vehicle number will be emailed to you.
All entry and sponsorship cheque's should be made payable to Macmillan 4x4 Challenge, Mac4x4 or Macmillan Cancer Support