ONLY FULLY COMPLETED FORMS WILL BE CONSIDERED
|
George Peach,
Race Secretary, Ellerslie, 128 Malew Street, CASTLETOWN, Isle of Man.IM9 1LT Tel. 01624 822546 (H)
07624 471301(M) Email: georgepeach@manx.net |
|
08- |
2008 Steam Packet Southern 100 Road Races
Billown Circuit, Castletown, Isle of Man.
An International Status Competition
On Monday to Thursday 7th
to 10th July.
Held under the National Sporting Code (4th Edition) and the 2008 Standing Regulations of the Auto-Cycle Union. Together with the Supplementary Regulations of Southern 100 Motor Cycle Racing Ltd. and Final Instructions to be issued. PCL 028 Permit ACU 21785 Permit IMN 191/041
Official Entry Form
RIDER/PILOTE
First Name(s)/Prĕnomญญญญญญญญญญญญญ________________________________Surname/Nom______________________________
Address_____________________________________________________________________________________
Town_______________________County_________________Country________ Post Code_____________
Tel. No ญญญญญญญญญญญญญญญญญญญญญญญญญญ___________________Mob.
No.__________________ Licence
No._____________________
Date of Birth D/M/Y ____/_____/____ Nationality_________________ Marital Status_______________
Name of
Next of
Kin________________Spouse/Partner/etc.__________ No. of Children(State Ages)_____________
Next of Kin
Address____________________________________________________________________________
_______________________________Tel
No.(day) ___________________(evening)________________________
Isle of Man
Address___________________________________________________________________
____________________________________IOM
Tel No._______________________________
PASSENGER
First Name(s)/Prĕnomญญญญญญญญญญญญญ________________________________Surname/Nom______________________________
Address__________________________________________________________________________________
Town______________________County______________ Country_____________Post
Code_____________
Tel. No ญญญญญญญญญญญญญญญญญญญญญญญญญญ___________________Mob.
No.__________________ Licence
No._____________________
Date of Birth D/M/Y ____/_____/____ Nationality_________________ Marital Status_______________
Name of
Next of
Kin________________Spouse/Partner/etc.__________ No. of Children(State Ages)_____________
Next of Kin
Address____________________________________________________________________________
_______________________________Tel
No.(day) ___________________(evening)________________________
Isle of Man
Address___________________________________________________________________
ญญญญญญญญญญ_______________________________IOM Tel No._______________________________
Entries
must be received by Sunday 8th June
DETAILS OF RACES ENTERED
DECLARATION: (1) I/we hereby apply to enter the race(s) indicated below and declare that the motorcycle I/we enter complies in every detail with the regulations and that the particulars thereof are correct. The appropriate entry fee is enclosed
RACE 1 Senior Solo
Founders Race 451cc to 1010cc
|
||||||||||||||||
|
Make |
Model |
cc |
Year |
2/4
stroke |
Transponder Id No |
|||||||||||
|
|
|
|
|
|
|
|||||||||||
|
Entrant
Details Only |
Name |
Licence
No |
Signature |
|
||||||||||||
RACE 2 Junior 250cc Race |
||||||||||||||||
|
Make |
Model |
cc |
Year |
|
Transponder Id No |
|||||||||||
|
|
|
|
|
|
|
|||||||||||
|
Entrant
Details Only |
Name |
Licence
No |
Signature |
|
||||||||||||
RACE 3 Senior Race 451cc to 1010cc |
||||||||||||||||
|
Make |
Model |
cc |
Year |
2/4
stroke |
Transponder Id No |
|||||||||||
|
|
|
|
|
|
|
|||||||||||
|
Entrant
Details Only |
Name |
Licence
No |
Signature |
|
||||||||||||
RACE 4 & 9
Classic Race 175cc to 850cc
|
||||||||||||||||
|
Make |
Model |
cc |
Year |
2/4
stroke |
Transponder Id No |
|||||||||||
|
|
|
|
|
|
|
|||||||||||
|
Entrant
Details Only |
Name |
Licence
No |
Signature |
|
||||||||||||
RACE 5 Junior Solo
Founders Race 125cc/400cc up to
125cc and 250cc-400cc four stroke
|
||||||||||||||||
|
Make |
Model |
cc |
Year |
2/4
stroke |
Transponder Id No |
|||||||||||
|
|
|
|
|
|
|
|||||||||||
|
Entrant
Details Only |
Name |
Licence
No |
Signature |
|
||||||||||||
RACE 6 & 12
Formula 2 Sidecar Race
|
||||||||||||||||
|
Make |
Model |
cc |
Year |
2/4
stroke |
Transponder Id No |
|||||||||||
|
|
|
|
|
|
|
|||||||||||
|
Entrant
Details Only |
Name |
Licence
No |
Signature |
|
||||||||||||
RACE 7 600cc Race
|
||||||||||||||||
|
Make |
Model |
cc |
Year |
2/4
stroke |
Transponder Id No |
|||||||||||
|
|
|
|
|
|
|
|||||||||||
|
Entrant
Details Only |
Name |
Licence
No |
Signature |
|
||||||||||||
RACE 8 - 250cc Race
|
||||||||||||||||
|
Make |
Model |
cc |
Year |
2/4
stroke |
Transponder Id No |
|||||||||||
|
|
|
|
|
|
|
|||||||||||
|
Entrant
Details Only |
Name |
Licence
No |
Signature |
|
||||||||||||
RACE 10 125cc/400 Race up to 125cc and 250cc-400cc four stroke |
||||||||||||||||
|
Make |
Model |
cc |
Year |
2/4
stroke |
Transponder Id No |
|||||||||||
|
|
|
|
|
|
|
|||||||||||
|
Entrant
Details Only |
Name |
Licence
No |
Signature |
|
||||||||||||
Mutual Responsibility of Entrant and Rider:(as
per the A.C.U. N.S.C.) An Entrant shall be
responsible for all acts or omissions on the part of his riders,
passengers, mechanics or any member of his entourage, but each of these shall
be equally responsible for any infringement of the ACU National Sporting Code.
The club reserves the right to refuse any entry or forbid the use of any particular machine, which it considers inappropriate. All machines must be prepared to a high standard of cosmetic appearance.
Personal Accident Insurance, of the Auto-Cycle
Union. For ACU/SACU Licence holders the entry fee will include Third Party
Insurance and Personal Accident Insurance of the Auto Cycle Union. All other competitors must produce a copy of their start permission
issued by their own federation (this includes MCUI members), which must be
proof that they hold personal accident cover to the FIM minimum benefits.
RACE - ENTRY FEES
|
ACU/SACU |
MCUI/FMN |
|
|
|
1
Senior Solo Founders Race |
ฃ60-00 |
ฃ35-00 |
|
|
|
2
Junior 250 Race |
ฃ60-00 |
ฃ35-00 |
|
|
|
3
Senior Race |
ฃ60-00 |
ฃ35-00 |
|
|
|
4
& 9 Classic Race |
ฃ80-00 |
ฃ45-00 |
|
|
|
5
Junior Solo Founders 125/400 Race |
ฃ50-00 |
ฃ30-00 |
|
|
|
6
& 12 Formula 2 Sidecar |
ฃ120-00 |
ฃ70-00 |
|
|
|
7
600cc Race |
ฃ60-00 |
ฃ35-00 |
|
|
|
8
250cc Race |
ฃ60-00 |
ฃ35-00 |
|
|
|
10
125cc/400cc Race |
ฃ50-00 |
ฃ30-00 |
|
|
|
Insurance
surcharge per rider/driver not passenger ฃ10-00 |
ฃ10-00 |
ฃ10 - 00 |
||
|
Newcomers
Jacket hire ฃ7-00 refundable on return of Jacket |
|
|
||
|
Transponder hire (if required) 1 = ฃ20,
2 = ฃ30, 3 = ฃ35 |
|
|
||
|
2008
Club Membership (if required) |
ฃ 7-00 |
ฃ
7-00 |
|
|
If already a
member tick box
|
|
|||