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2009 I205C Registration form
REGISTRATION FORM 2009
DRIVERS NAME
ADDRESS
D.O.B
MOBILE NO
EMAIL
..
OCCUPATION
.
CO DRIVERS NAME
...
ADDRESS
D.O.B
.
MOBILE NO
.
EMAIL
..
OCCUPATION
.
RALLY CAR DETAILS.
REG NO
.
CHASSIS NO
LOG BOOK NO
COLOUR
.......
NEW BUILD/ PREVIOUS CHALLENGE OWNER
...
PREVIOUS RALLY EXPERICENCE/ RESULTS
..
.
REGISTRATION FEE. Tick payment method.
DRIVER 320 EURO
CHEQUE
..POSTAL ORDER
.CASH
CO DRIVER 50 EURO
CHEQUE
.POSTAL ORDER
..CASH
OFFICIAL USE
CHALLENGE NUMBER..
SEND FORM AND PAYMENT BY POST NO LATER THAN JAN 20TH 2009 TO
RORY GALLIGAN, MOUNTAIN VIEW, OLDCASTLE, CO. MEATH
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