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Teifiside Entry 1st September 2019

Posted On 22nd August 201922nd August 2019 By malcra

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2019
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Teifiside Entry 1st September 2019

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Rider Name *

First

Last

Email *

Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Date of Birth *//

Riding Number *

AMCA or Welsh Championship Riding Number

Classes *

Pre60
Pre65
Pre68 up to 350cc
Pre68 over 350cc
Pre74 up to 250cc
Pre74 over 250cc
Pre78
Twinshock 125cc
Twinshock
Evo
Modern
Quad
Sidecars

Please select the classes you wish to race in

AMCA License Number *

AMCA Classic or Modern License Number; enter 0 if no license held and day license required.

AMCA Club

Machine #1 Make, Model *

Make and model of machine

Machine #1 Capacity (in cc) *

In cc numbers only

Machine #1 Year *

Year of manufacture

Machine #2 Make, Model

Make and model of machine 2 (if you have one)

Machine #2 Capacity (in cc)

In cc numbers only

Machine #2 Year

Year of manufacture

Choose your entry type *

Solo £32.00
Sidecar £43.00
Day License £10.00

Select the items you need; if you don't have an AMCA license you need to select a day licence. Licenses will be checked at the event.

Email

#Uncategorised

malcra

malcolm.hungerstone@gmail.com

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