2023 PMSC Rally X Registration.

Entries for our Events are being accepted up to 40 Entries all entries over 40 will be held in order of entry in case any openings become available.

Please be careful to select the CORRECT Date(s)

You may enter several events with one Form.

Just select your dates

Entry fee is $100 for Non PMSC Members

PMSC Members $80

Payable by Cash, Cheque or E-Transfer ( we do not have a Credit Card facility) E-Transfer is Preferred

There is a limit of 40 Entries for Each Event.

Payment must be received before an entry is considered complete. Payment by Cheque mail to(allow time for mail delays)

PMSC c/o Pete Gulliver,

1026 Communication Road

Selwyn, ON K9J 6X2

Send E-Transfer to rallyx@pmsc.on.ca depending on your bank you may need to contact Organizer with the password

RALLY CROSS

* Indicates a required field

Event Selection

Registering for which Event(s)? You may enter more than one at the same time NOTE should an event be postponed your entry will be transferred to the new date *
May 27, 2023Jun 24, 2023July 15, 2023Aug 26, 2023Sep 16, 2023

Driver Information

Driver Name (First and Last) *

Phone Number *

Tee Shirt size SUBJECT to availability

Tee Shirt Size *

Address *

City *

Province *

Postal Code *

Email *

Rally Club Affiliation

Emergency Contact Information

Contact Name *

Relationship *

Contact Phone *

Vehicle Information

Vehicle Class *

Vehicle Year (YYYY) *

Vehicle Make *

Vehicle Model *

Vehicle Colour *

Shared Vehicle? *

YesNo

For all shared vehicles, please fill out a registration form for EACH driver and indicate the names of the other drivers EACH time. Ex. Three people ( Maximum allowed) sharing one car will have 3 registration forms filled out. This helps load the automatic entry list correctly and accurately for all driver entrants. Thanks!

Shared Drivers (please list names of all other drivers sharing this vehicle)

Service Person (please list names of all Service People)

Payment Methods

PMSC is not set up to receive credit card or PayPal payments. Payment options are therefore as follows:

1) Pay by Cheque - Please make cheques payable to Peterborough Motor Sports Club and mail your cheque to the following address:
c/o Pete Gulliver
1026 Communication Road
Selwyn ON K9J 6X2

2) Pay by Interac email money transfer - Please send money transfers to rallyx@pmsc.on.ca

How are you planning to pay? *

ChequeInterac E-Transfer

[By Supplying your Name and E-Mail you accept conditions of Event Registration]