all the people who wish to attend the blackpool car show need to print this form off fill it in get it to me with £5 paymet via paypal or cash by the 20 th of may No later that way i can get them all in and get them sent off
totallyTransport
Sunday 26 June 2011
totally Transport
Car Entry Form
Please complete this form and return it as soon as possible to: Nigel Whitaker, Entries Secretary, Totally
Transport. PO Box 761 Preston PR4 1GA enclosing the entry fee (£3 per vehicle payable to Totally
Transport). Closing date for entries is 1 June. For enquiries please phone 07721304045 or email
cars@totallytransport.info
Entrant details:
Name:
Address:
Post Code:
Telephone: Mobile No: Email:
Vehicle details
Registration Year First Registered
Make/Model: Colour
Engine Size Cylinders
Insurance Company Policy No:
If you wish to park with a group or fellow entrant please identify them here
Declaration The use of the vehicle hereby entered (or any substitute vehicle) is covered by insurance as required by
the relevant law applicable with a limit of indemnity of not less than £500,000 for any one accident and is valid for such
part of this event as shall take place on public roads as defined in the relevant law. I confirm that the driver(s) of any
vehicle entered holds a licence to drive the vehicle of the appropriate class and is not disqualified from driving. I have
read these conditions and my signature below confirms that I agree to be bound by them.
I declare that I have read the conditions for the 2011 Blackpool Totally Transport event and agree to be bound by them.
I acknowledge that I understand the nature and type of the event and potential risk inherent in motor sport and agree
to accept that risk. Further, I understand that all persons having any connection with the promotion and / or
organisation, and / or conduct of the event are insured against loss or injury caused through negligence. Entry for this
event is accepted on the signature of the entrant agreeing to these terms and on the commitment that they will apply to
any co-drivers, passengers, mechanics and other persons associated with the entry.
Signed: __________________________________________________ _______ Date _____ / ____ / ____
I enclose £_____ made payable to totallyTransport (@ £3 per vehicle)
If you wish to enter more than one vehicle or enter together as a group please copy
this form – or print more from our website and enter your group name below so we
can ensure you are displayed together
Group Name: __________________________________________________ ______________________
Visit
totally Transport for more details about the event