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Motor Rally th 5 June 2011

Title:

First Name:

Last Name:

Address: Tel No (day): Mobile No: Model: About your car:

Tel No (evening): Email: Make:

Reg:

By entering the Motor Rally I confirm that (please tick by way of confirmation) that:‐

My machine is legal for road use I have a current MOT I have a valid Insurance Certificate and Road Fund Licence I confirm that I am completing this form myself

£ I would like to make a further donation to the charity of Please tick here if you are a UK taxpayer

If you are a UK taxpayer Gift Aid can make your donation worth even more. For every pound you give, the charity will receive an extra 25 pence from the Inland Revenue. If you would like to Gift Aid your donation please tick here Note: To Gift Aid this donation you need to confirm that you are a UK taxpayer and pay an amount of Income Tax and/or Capital Gains Tax at least equal to the tax that can be reclaimed on this donation. By signing this form I confirm that I have read and agree to the terms, indemnity and information set out in this entry form Signed:

Date:

Please now return this form with your minimum donation of £5 (cost per vehicle) with a cheque made payable to the BBC Radio Devon Air Ambulance Appeal, BBC Radio Devon, Po Box 1034, Plymouth. Closing date: pre entries TERMS, INDEMNITY AND INFORMATION By entering to take part in the BBC Radio Devon Air Ambulance Appeal Motor Rally I confirm and accept the following terms:‐ • The Motor Rally is organised by BBC Radio Devon and Devon Air Ambulance Trust • The Motor Rally will begin 12 noon on the Hoe, Plymouth • Vehicle owners should arrive from 11.30am to enter the showground area • Each entry for the Rally will only be accepted if this form is completed in full and is accompanied by the correct fee • Entry is by a minimum donation of £5 • The show area will be marshalled • Motorists must follow the instructions of the marshals and abide by the 5 mile an hour speed limit • BBC Radio Devon and Devon Air Ambulance Trust reserve the right to change any part of this event should circumstances beyond their control dictate

• •

Participants enter at their own risk A mostly for fun competition will be held during the Rally with awards for various categories, including car most like its owner! The categories will be judged by David Fitzgerald and Fifth Gear’s Tiff Needell

Motor Rally Cancellation If the event is unable to take place due to unforeseen circumstances the organisers will be entitled to cancel the event. In such circumstances we will try to broadcast news of the cancellation on BBC Radio Devon 103.4 fm. In the event of cancellation your entry fee is non‐refundable and the event organisers will accept no other liability to you for any costs or expenses you may incur as a result of the cancellation

If you would like to help even further why not consider doing some further fundraising for the Appeal ‐ find out more at www.daat.org or ring 01392 466666


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