» Pendine Dash 2010 entry form

Pendine Dash 2010

Sunday 8^th August

Name:

Address:

Post Code:

Home Tel no:

E-mail address:

Vehicle make: Model:

Reg No:

Year of manufacture:

I confirm that my vehicle will be taxed, insured and have a current MOT certificate. I also confirm that I understand that this event is not a rally, race or timed event of any kind. I also agree to conform to any decisions regarding the running/safety considerations imposed by the organisers of the event and to indemnify the organisers and the Pembrokeshire MG Car Club against any claims arising out of my actions.

Signed...............................Name(printed).......................................

Please note that the entry fee for the Pendine Dash 2010 is £16 and will include a Rally Plaque, Tulip Directions and a Welsh Tea at the finish. Cheques to be made payable to "Pembrokeshire MG Car Club"

All entries to be sent to Roy Thomas, Ceann Mara, Freshwater East , Pembs. SA71 5LA by 4^th July 2010