Manual Event Entry Form for Reserve Entries

This form is to be used to provide entry details to be added to a Reserve List due to full capacity entries for the 2023 AMSAG Test Day.

Please complete the details below and we will then be in contact further to discuss your entry should we receive a withdrawal from another entrant.

Driver Name

Driver AMSAG Member Number

Driver Mobile Number

Driver Email Address

Driver Competition Licence Number

Driver Competition Licence Expiry Date

Navigator Name

Navigator AMSAG Member Number

Navigator Mobile Number

Navigator Email Address

Navigator Competition Licence Number

Navigator Competition Licence Expiry Date

Vehicle Year

Vehicle Make

Vehicle Model

Vehicle AMSAG Logbook Number

Preferred Payment Method for Entry Fee