Please print out this page, fill in your details, and return it to the address shown below, together with your registration fee.

ASSOCIATION OF NORTH WEST CAR CLUBS
OFF ROAD TRIALS CHAMPIONSHIP REGISTRATION FORM

NAME

ADDRESS



POST CODE

E-MAIL

NAME OF CLUB

COMPETITION LICENCE NO.

VEHICLE TYPE

RTV or CCV

COMPETITION CLASS

REG. NO.

I have read and understood the Regulations for the ANWCC Off Road Trials Championship and agree to abide by the decisions of the organizers. I enclose the registration fee of £10. (Cheques payable to L&CROC Ltd).

SIGNED

DATE

PARENT OR GUARDIAN SIGNATURE IF UNDER 18

DATE

Return to:
C.Gaukroger
45 Franklyn Avenue
Crewe
Cheshire
CW2 7NE