Your Entry to The Steve Johnson Memorial Tour

SJMT Entry

Correspondence Email:

Contact Phone:

Driver Name:

Navigator Name:

Vehicle Make & Model:

Vehicle Registration

Vehicle Colour

Year Of Manufacture:

MSUK Declaration

I declare that I have read the Supplementary Regulations for this event and agree to be bound by them. I declare that I am physically and mentally fit to take part in the event and I am competent to do so. I acknowledge that I understand the requirement to “sign on” under the Motorsport UK disclaimer. I declare that the use of the vehicle hereby entered will be covered by insurance as required by Law, which is valid for such parts of the event as shall take place on roads defined by Law, and that the vehicle is correctly registered and possesses a valid MOT certificate where applicable. I understand that all persons having any connection with the promotion and/or organisation and/or conduct of the event are Motorsport UK insured against loss or injury caused through any negligence.

Payment of Fees

I agree to pay the Entry Fee of £10 on completion of this form

I am paying

On the day, in cash

Today, via Bank Transfer

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