Routemaster Owners Club

THE ROUTEMASTER OWNERS CLUB

BUS SHOW & RUNNING DAY ENTRY FORM
SUNDAY 5th OCTOBER 2008
10.00am - 4.00pm Yorkshire Air Museum, Halifax Way, Elvington, York YO41 4AU

VEHICLE ENTRY FORM - STATIC DISPLAY

Name___________________________ Society/Company (if applicable)____________________

Address_______________________________________________________________________

__________________________________________________________Post Code___________

Phone Nos _______ __________________(evening) _______________________(Mob)

E-mail:________________________________________________________________________

VEHICLE ENTRY DETAILS

Registration No. ____________________Year Built ________________

Chassis Make/ Model___________________________________________________________

Body Make/ Type ______________________________________________________________

Operator __________________________________________Fleet No ____________________

Brief History___________________________________________________________________

_____________________________________________________________________________

Entries received after the 15th September may not appear in the Rally Programme
Declaration: (Please read carefully and sign the section below)
I declare that my entry is suitably insured in accordance with the Road Traffic Act which includes
Public Liability Cover (including rally/ show use), has a limit of liability of not less than £500,000 for any one accident and if proposed to be made available for use on public bus rides that it is insured for such purpose. I can confirm that the driver(s) of the vehicle entered by me hold a current licence of the appropriate class.
I / WE AGREE TO CONFORM WITH DIRECTIONS GIVEN BY RALLY MARSHALLS

Signed ______________________ Name (please print)__________________ Date ______

Please return completed forms to:
MIKE MANN 27 CRAWCROOK WALK STOCKTON-ON-TEES TS19 8PX
E-MAIL: mikemann@routemasterownersclub.co.uk TEL: 01642 877258 MOB: 07828 804328