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All 60 team places for 2007 are now filled. If you would like to go on the reserve list please fill in this entry form and send it in WITHOUT a payment. If you get the opportunity to compete you will be notified and given the opportunity to send in your entry fee.

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Macmillan 4x4 UK Challenge 2007 Entry Form
Friday, 9th to Sunday, 11th March 2007

DRIVER
Surname ....................................................…... Forename/Initials ............................…................... Mr/Mrs/Miss/Ms

Address ...............................................................................…....................…....................................................................

.............................................……….....................................………………........... Post Code .........................................

Home Tel No. ............….................... Mobile No. .....…...................... email ..................................………..................

NAVIGATOR
Surname ....................................................…... Forename/Initials ............................…................... Mr/Mrs/Miss/Ms

Address ...............................................................................…....................…....................................................................

.............................................……….....................................………………........... Post Code .........................................

Home Tel No. ............….................... Mobile No. .....…...................... email ..................................………..................

SEEDINGS
Give best 3 places in the last three years in this type of event (Driver or Navigator)
Date / Event / Overall Position

1. .................................................................................................................................………........................………...

2. ....................................................................................................................................……........................………...

3. ...................................................................................................................................…….........................………...

VEHICLE
Make ........................….................. Model ............................…............................. Reg. No. ...................…..…......

Wheel Base .......................….......... Engine CC ...…..................................... Petrol/Diesel ..….......................

ACCOMMODATION
For Sunday night, at the final destination, each team will have a twin room booked at a superior hotel, and two places at the Presentation Dinner. All of this is included in the Entry Fee, (less personal drinks and extras)

FEES
The basic Entry Fee, which will cover some of the expenses and is non-refundable is £150 per team. In addition teams are asked to raise a minimum of a further £600 in sponsorship. There is an award for the highest amount of sponsorship raised.

ENTRIES
 All entry and sponsorship cheques should be made payable to
‘Macmillan 4x4 Challenge' or ‘Macmillan Cancer Support’
The Entry Fee should be forwarded, with this form, to:
Peter Rowland, Courtyard Barn, Eaton Bishop, Hereford HR2 9QD
For further information phone 01981 252954

 

I have read and noted the details above Signature ................................................................. Date.........................

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