Deposit slips must be faxed to the 4x4ATV office together with your entry form - no entry will be valid unless proof of payment has been received by the club - Fax no: (012) 377 3975.
PLEASE WRITE ON YOUR DEPOSIT SLIP:
YOUR NAME (include your member number if applicable) AND "JAMBOREE 2009"

Bank:     -     ABSA
Branch:     -     Code 335 045
Cheque account:     -     0600 720 708

TOYOTA RUST DE WINTER 4X4 JAMBOREE
Official entry form - 2009

NATIONAL 4X4 JAMBOREE - "March 2009"
PLEASE NOTE: THIS DATE WILL BE CONFIRMED! 
Entry fee   : R280,00 per vehicle for 4x4ATV members
               : R360,00 per vehicle for non-members
Payable to:
4X4ATV Organisation
P O Box 28354, Sunnyside, 0132.
Contact person:
Peter Claasen       Cell: 082 558 6184
Tel: (012) 379 1715
or answering fax: (012) 377 3975

OFFICIAL USE ONLY

Competition no:  
License no:  
Entry fee paid, rec no:  
Badges, etc. received:  
Entry received on time:  
Held under the International Sporting Code of the Federation Internationale de 'l Automobile (FIA), the General Competition Rules and Standing Supplementary Regulations of Motorsport South Africa (hereafter referred to as MSA), these Supplementary Regulations and any Final Instructions which may be posted on the official notice board. Permit no: _____ to be advised.
DRIVER - 4x4ATV Organisation member no (if applicable): _______________ 
Name: ____________________________ Nick name: _________________________
License no: ________________________ Drivers license no: ___________________
Address: ______________________________________________________________________
__________________________________________________   Code: _____________
Club: _________________ Tel: w ________________ Tel: h ________________
Navigator
Name: ___________________________		 Indemnity no: _______________________
PASSENGERS
Name: ____________________________ Indemnity no: _______________________
Name: ____________________________ Indemnity no: _______________________
Name: ____________________________ Indemnity no: _______________________
Name: ____________________________ Indemnity no: _______________________
I / We have also read and understood Clauses 93 and 94 of the General Competition Rules and signify my / our agreement to abide by these rules by signing this entry form.

Driver Signature __________________________

Date ______________________
If a competitor is under 21 years of age, this form must be countersigned by the appropriate parent or guardian. 
Vehicle details:
Make / Model: _______________________ Reg no: _________________________
Vehicle nick name: ____________________ Colour: _________________________

Please indicate which events you wish to enter:
"March 2009" Gymkhana  
"March 2009" Main/Mountain Route  
"March 2009" Prize giving ceremony  
* Show and Go  
* Best engineered  
* Concourse D'Elegance  
* Best Standard Jeep  

Although competitors are requested to indicate which events they wish to enter, additional rules and regulations as well as entry forms, which must be completed, will be available at the entry tent for the last 4 items (*). Entry for the last 4 items(*) is FREE of charge.

THE ENTRY FEE (R280,00 or R360,00) MUST ACCOMPANY THIS ENTRY FORM
 Starting positions will be allocated on FIRST COME, FIRST SERVED basis on receipt of a deposit.
Cancellations without a written request, on or after 12h00 on "March 2009 / under rivision", will not be refunded.
Please note: No verbal cancellations will be accepted.

FOR OFFICE USE ONLY

Payable at Rust de Winter:

 Member Non-member Total
Jamboree entry fee incl MSA levy & indmn:      
Driver's / Co driver's / Passenger indmn:      
Admission: Camp fees per vehicle per night:      
Per person per night:      
Total amount payable:      
Minus deposit received:      
Balance Payable:      
Deposit paid: R _______________ , receipt no: _______________

Official's signature: ______________________

RIGHT OF ADMISSION RESERVED

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