NARA International Motorsport Festival

Entry Form  

No entries will be accepted prior to Jan 1, 2000

Entrant Information         Date: 

Company/Entrant:

Entrants Address:

City:   St.:   

Country:

Postal Code:

Phone (Include Country Codes):    

Fax (Include Country Codes):             

E-mail Address:

Event Entering -     International Rally   Vintage Rally

(International Rally, Vintage Rally (pre 1988 Automobiles)

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Driver Information

Driver Name:

Driver Address:

City:    St.:       

Country:

Postal Code:

Phone (Include Country Codes):    

Fax (Include Country Codes):                                              

E-mail Address:

Rally History (include wins, years in rally, etc.):

FIA License Number (If you don't have one now, so indicate):

Are you an FIA Seeded Driver, if so what is your rating:

North American Drivers - What Seed Group do you belong in:

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Co-Driver Information

Co- Driver Name:

Co-Driver Address:

City:  St: Country:

Postal Code:

Phone (Include Country Codes):    

Fax (Include Country Codes):                                              

E-mail Address:

Rally History (include wins, years in rally, etc.):

FIA License Number (If you don't have one now, so indicate):

Is this an all female crew?:

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Vehicle Information

Make:  Model Year:

Rally Entering In:

Class Entering in:

Classes for the Vintage Rally: Group A, Group N, Group B, US Domestic Automobiles

Classes

Special History?:

Engine Displacement: Turbo/Super Charger (Y/N):

License Number: 

Vehicle Number:

Color:

Major Sponsors:

Insurance Carrier:

Policy Number:

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Entry Fee: $600.00 ($400.00 of this will be re-funded after the rally and the entrant has returned the Motorola i-1000+ phones (2) issued on the day of Scrutineering.  The balance of $200.00 will be donated to a charity.  Please indicate any preference that you might have in the way of a charity you would like your money to go to.  The default is Children's Hospital in Seattle, WA which specializes in trauma cases involving children.

Charity:

Entry must be accompanied by full payment of entry fees, this may be done with a major credit card.

Card Type:

Card Number:

Name on Card:

I authorize the North American Rally Association to charge my credit card above with the entry fee of $600.00.  This money will be held in an escrow account some of which is returned to the entrant, $200.00 of which will be donated to a charity of the entrants choice.

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Would you like a copy of the printed regulations sent to you by mail:

Number of copies:

Do you need assistance in securing street insurance for your vehicle while it is in the United States?

Do you have any special needs that NARA might be able to assist you with?:

Any Additional Questions or needs: