MGCC MIDLAND CENTRE

MGCC MIDLAND CENTRE
ENTRANTS DECLARATION AND SIGNING ON
Driver/Entrant - Name*
First NameLast Name
Driver/Entrant - Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Driver/Entrant - Phone Number*
Driver/Entrant - MGCC Membership Number
Driver/Entrant - Event Race Number*
Driver/Entrant - MSUK Licence Number*
I confirm that I have read the attached MSUK documents regarding the 'Sign-on' requirements*
YESNO
Driver/Entrant - Signature
Clear
Contact Name in case of Emergency*
First NameLast Name
Contact Phone Number in case of Emergency*
Have any of the car details in your previously completed 'Vehicle Scrutineering Form' changed? If so please list all changes below.
If you are not attending with any guests, please click the Submit button below.
If you are having anyone attending with you, then you are currently allowed 5 additional guests, please click Next and complete all of their details on the following page.

After completing all of the relevent boxes, click the Submit button to send the form to The MG Car Club Ltd - MIDLAND CENTRE
Should be Empty:

Continuation sheet(s) for your Guest(s) (Current Maximum = 5)