BANGER RALLY ENTRY FORM
28th September – 4th October 2024
TEAM NAME
*
CONTACT DETAILS OF TEAM CAPTAIN / MAIN DRIVER
First Name
Last Name
Address
Street Address
Street Address Line 2
City
County
Post Code
Email Address
*
example@example.com
Contact Number
*
-
Area Code
Phone Number
TEAM MEMBERS DETAILS AND UPGRADE OPTIONS (Upgrades will be invoiced separately and will need to be paid for by 1st June 2024)
*
I, (Team Captain / Main Driver on behalf of my entire team) declare that I enter the Banger Rally Challenge 2024 which I acknowledge is not a race or a competition but an opportunity to have some fun and raise money for charity. I also understand that I need to sign up to the event rules prior to taking part. I understand that the organisers of this event are in no way liable for any loss, injury, damage, death or other unfortunate incidents before, during or after this event.
ENTRY SELECTION
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VEHICLE ENTRY PLUS UP TO TWO TEAM MEMBERS
£
395.00
Quantity
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ADDITIONAL TEAM MEMBERS
£
95.00
Quantity
1
2
3
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10
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