Comp Safari Form + Duel Drivers - Staffordshire and Shropshire Land Rover Club

1Select Ticket
2Attendees
3Payment
4Confirmation

Subtotal Free

- Email
- Name
- Surname*
- Club*
- Class*
- Class*
- Running No ***
- Contact No*
- ** We will contact you if running number is already allocated
- Do you have a blue timing tag issued to you by S&S on your vehicle? If you do not already have a timing tag, one will be provided for you to collect at signing on. Please note that there is a £10 charge per tag. Refund of deposit can be given when timing tag is returned.*Yes No
- How many tags are fitted*1 2 N/A
- Is your timing tag programmed with the same number as your running number?*Yes No N/A
- Dual Drive - Additional Name
- Dual Drive - Additional Club

** We will contact you if running number is already allocated