MCAC Competitors Claim Form

MCAC Competitors Claim Form

Only one event claim per form please, any submissions more than one month after the event being claimed for will be rejected.
It is a requirement of the championships that you:
- Enter under MCAC
- Display MCAC stickers on the car
- Submit an article for the Magazine, RRR, website, Facebookor similar.
Name of Person Submitting Claim*

First NameLast Name
Email*
example@example.com
Phone Number (Optional)
Date of Event - From*

DayMonthYear
Date
Date of Event - To*

DayMonthYear
Date
Event Name*
Event Role

Please complete the relevant sections below appropriate to the role(s) you/your team played on the event.
Driver

First NameLast Name
Navigator

First NameLast Name
Service Crew Names
Points are being claimed in which championship (Tick all that apply)

Off Road DriverRoad Rally DriverRoad Rally Co-DriverStage Rally DriverStage Rally Co-DriverNight Trial DriverNight Trial NavigatorServiceJuniorBest MCAC
By ticking the box below I declare to the best of my knowledge the information given is true and accurate*

Agree
Should be Empty:

Event Role