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  Print screen, then complete and send to:-   (hold ctrl and P )

    Roger Petheram,

        14 Mountdale Gardens

        Leigh On Sea

        Essex SS9 4AU

Please note:- to print this form complete please hold down the key "ctrl" and then press "p" at the same time

this will prompt your printer to print the whole document.......

     

 

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      Rules governing this event.

 

  1. The event is open to vehicles first regd. before 1st. January 1976; entry is at the discretion of the SEVCVC Ltd.
  2. The entrant must be the owner of the vehicle or have the authorisation of the owner for its use in this event.
  3. Entries should only be on this form; please use a separate form for each vehicle. Photocopies of the form are acceptable. No change of vehicle can be made without prior notification and acceptance by SEVCVC.
  4. All vehicles must be licensed and have a valid MOT certificate at the time of the event.
  5. The use of the vehicle entered must be covered by appropriate insurance as required by law, and the entrant             warrants by signing this form that any person in charge of the vehicle on the event is so covered.
  6. Entry may be refused if satisfactory evidence of valid insurance cannot be produced upon request.

 

        The SEVCVC confirms that it holds public liability insurance for this event for up to £5 million

 

       Complete the form below and send it with your entry fee (made payable to SEVCVC Ltd) to:-

        Roger Petheram, 14 Mountdale Gardens, LEIGH-on-Sea, ESSEX, SS9 4AU.

        The closing date for entries is Monday 18th July 2011 and any received after this date WILL be returned. ­

 

ENTRY FEE £10 FOR SEVCVC Ltd. MEMBERS AND £15 FOR NON-MEMBERS.

PLEASE DO NOT SEND SAE WITH THIS FORM

 

ENTRANT DETAILS

 

First Name ……………………………………..…Surname………………………………………………………..

 

Address. ………………………………………………………………………………………………………………

 

…………………………………………………………………………………………………………………………

 

Postcode:………………………………                  Tel.No…………………………………………………………..

 

VEHICLE DETAILS

 

Make:…………………………………………       Model:…………………………………………………..………

 

Year:………………………………………….       Reg.No:…………………………………………………….……

 
      
         START SELECTION (please tick the box)

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         I am entering a PRE-1950 vehicle and would like to start from Wat Tyler Park……….…..

        

         I would like to enter a static exhibit and go directly to Priory Park from 11. AM  …………    

 

   

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         DECLARATION:

 

         I have read and accept the rules of the event.                               

 

         Signature of Entrant…………………………………………SEVCVC Membership No. ………………

              

       Tick the box if you would you like to become a member of the SEVCVC.Ltd.

 

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        DATA PROTECTION ACT:-  We will hold this information on our database for the administration

 

         of this event and in order to advise you of further events held by the SEVCVC Ltd.

         If you do not wish to be advised of future events please tick the box.