Rose of the Shires Registration Form Personal DetailsVehicle DetailsEntry Form for the Sunday, 17th May 2020 Rose of the Shires Charity RunDriver's First Name Driver's Last Name Passenger's First Name Passenger's Last Name Email AddressAddress Line 1 Address Line 2 City County Postcode Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaSamoaYemenZambiaZimbabweMobile Number Phone Number PreviousNextCar Club (if any) Vehicle Registration Number Year Make Model Colour Entry Fee Vehicle, Driver & 1 Passenger (£25) Vehicle, Driver & 2 Passengers (£30) Vehicle, Driver & 3 Passengers (£35) Vehicle, Driver & 4 Passengers (£40)The Standard entry fee includes the driver and up to 1 passenger. Extra passengers are charged for. Route book, tea or coffee and a bacon roll at the start are included. I have read and agree to the following Condition of Entry. Northants Rose of the Shires 2020 By ticking you are agreeing to abide by the details below. I am the driver of the above mentioned entry vehicle and have a valid driving licence. My entry vehicle will be licenced and in roadworthy condition and covered by Third Party Liability as required by the Road Traffic Act 1960 or by substituted amending legislation. I will be responsible for ensuring my passengers also abide by the conditions of entry. I will abide by all the rules and regulations for the Event laid down by the organisers or their appointed stewards/marshals. I shall conduct myself and my entry in such a manner so as not to cause nuisance or annoyance to the general public and shall observe good road behaviour and comply with the requirements of the Highway code. By signing the form you are consenting to Northants MGOC holding your data with the sole view of contacting you for the 2020 and 2021 Road Run Events. Your data will not be passed to any other organisation whatsoever, unless expressly required to do so by a legal authority. If you do not wish your data to be held after the event please advise the signing-on team accordingly. Press Submit Form when you have completed all required fields. You will be sent an email shortly which will have instructions on how to pay the entry fee. Please check your Trash Folder if the email doesn't arrive shortly. regards Northants' MG Owners' Club Previous Submit Form Like this:Like Loading...
