Entry form for The Pendine Dash 2010

Name:

Address:

Post Code:

Home Tel no:

E-mail address:

Vehicle make: Model:

Reg No: Year:

I confirm that my vehicle will be taxed, insured and have a current MOT certificate.

I also confirm that I understand that this event is not a rally, race or timed event of

any kind. I also agree to conform to any decisions regarding the running/safety

considerations imposed by the organisers of the event and to indemnify the

organisers and the Pembrokeshire MG Car Club against any claims arising out of

my actions.

Signed………………………….Name(printed)……………………………......