Entry Form

Events > Haunted Lincolnshire Classic

Haunted Lincolnshire Classic 2015
Entry Form

If you prefer to enter by post click here

For a copy of the regs click here

Title

Forename*

Surname*

Address 1*

Address 2

Address 3

Town/City*

Postcode*

Phone No.

Mobile No.

E-mail Address*

Repeat E-mail Address*

Name of 1st passenger *

Make of Vehicle*

Model of Vehicle

Year of Manufacture

Registration Number

Additional Passengers names

Numbers Entering

Entry Fee (2 people 1 car) @ £27.00

Extra Passengers @ £5.00

Total Monies to pay

I prefer to pay*

by chequeby BACS transfer

I declare that the use of the vehicle hereby entered will be covered by insurance as required by the law which is valid for such part of this event as shall take place on roads as defined by the law.
I agree

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