RSAC Radio Registration Form

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Mobile Number * This field is required.

4

MSUK Licence Grade* This field is required.

Registered Marshal

Not Yet Registered

Grade 1 Rally Marshal

Grade 2 Radio Marshal

5

MSUK Licence Number * This field is required.If not registered, please type 0000

6

Radio Experience* This field is required.

Start

Spectator Areas

Stop

Chicanes

7

Preferred Location* This field is required.

SS1 & SS4 - Barney Water / Stage Commander / Craig Fisher

SS2 & SS5 - Glengap / Stage Commander / Wilma Davidson

SS3 & SS6 Dalbeattie / Stage Commander John Jones

No Preference

8

Radio Call Sign * This field is required.

Main Car Set Call Sign

Handheld Radio Call Sign If Applicable

9

Do You Have The Appropriate Kit ?* This field is required.Please tick all that apply

SMMC Channels

SMMC Mast

SMMC Whip

MSUK Mast

Red Flag

10

Do You Have A 4x4* This field is required.

YESNO

11

Do You Have A Campervan / Motorhome * This field is required.

YESNO

12

Will You Be Double CrewedPlease Name All Persons Who Will Be Attending With You, Otherwise Please Leave Blank

Name 1

Name 2

Name 3

Name 4

13

If You Have Any Requests Or Comments, Please Detail Below