Autox Entry & Regs ‹ Tynemouth & District Motor Club

Tynemouth and District Motor Club Autocross
2017 ANECCC Autocross Championship

Sunday 30th July 2017 Autocross Rd 6 @ Coneygarth,Longhurst, NE61 6QN

Please note change of venue!!! Now Coneygarth!!

If paying electronically :

Note: You will be required to sign the indemnification form at signing on as well as producing your MSA Licence and Club Membership card.

First Name : *

Surname : *

Address :

Email : *

Phone Number : *

Competition Licence Number : *

Class of License and Motorclub : *

Car No and Shared Car Number if applicable : *

Car Make/Model/Engine Size/Class : *

Pay By : :

Member of ANECCC : * Yes No

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