JPR Motorsport

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  Teams Only (Protected)


The following section must be completed by the Team Manager

Name:    

 (Required)

Address:    

 (Required)

 

Town/City:    

 (Required)

County/State:    

 (Required)

Post Code:    

 (Required)

Tel No (Home):    

 (Required)

Tel No (Office):    

 (Required)

Mobile:    

 (Required)

Fax :    

 (Required)

Email Address:    

 (Required)

Team Name:    

 (Required)

Car Number :    

 (Last 3 digits of chassis number) - (Required)

Car Colour(s) :    

 (Required)

Sponsor(s) :    

 (Please List) - (Required)

Name Of Driver 1:    

Racing Experience :    

Name Of Driver 2:    

Racing Experience :    

Name Of Driver 3:    

Racing Experience :    

Name Of Driver 4:    

Racing Experience :    

Name Of Driver 5:    

Racing Experience :    

Name Of Driver 6:    

Racing Experience :    

Please provide detailed information about your team’s history in the Fun Cup series (this will provide a basis for your review on the team line up section of the website www.funcup.co.uk ). You may also add any additional information that you would like to be included about your team on the website.

Team History :    

I wish to apply for registration for the 2008 Fun Cup season and agree for Fun Cup UK to debit my credit/debit card for the registration fee of £400 plus VAT.

Completion of this form will be taken as your agreement to comply with all rules and regulations of the Fun Cup.

Name:    

 (Required)

As you are completing this form electronically please select 'YES' in this box to confirm you authorise Fun Cup UK/JPR Motorsport Ltd to debit your credit/switch card for the 2008 registration fee:  (Required)

Date :    

 (Required)


Invoice Address:

Name:    

 (Required)

Address:    

 (Required)

 

Town/City:    

 (Required)

County/State:    

 (Required)

Post Code:    

 (Required)

Tel No (Home):    

 (Required)

Tel No (Office):    

 (Required)

Mobile:    

 (Required)

Fax :    

 (Required)

Email Address:    

 (Required)


Parts Delivery Address (If different from above):

Name:    

Address:    

 

Town/City:    

County/State:    

Post Code:    

Tel No (Home):    

Tel No (Office):    

Mobile:    

Fax :    

Email Address:    


Credit Card Details

Please Note: An additional 2% handling charge will be added to payments made using Master Card and Visa Credit Cards

Credit Card Type:    

  (Required)

Credit Card No:    

 (Required)

Name On Card:    

 (Required)

Valid From (mm/yy):    

 (Required)

Valid To (mm/yy):    

 (Required)

Security No :    

 (Required)

Issue No :    

(Switch Only)

As you are completing this form electronically please select 'YES' in this box to confirm you authorise Fun Cup UK/JPR Motorsport Ltd to debit your credit/switch card for all Parts bills
in 2008 :  (Required)

Please note, if your card details expire during the 2008 season, or your parts/invoice address changes, you MUST inform Fun Cup UK immediately, to avoid any delays in dispatching parts etc.


Copyright © 2005 - 2008 - JPR Motorsport Ltd - All Rights Reserved
JPR Motorsport Ltd, Blackwood Farm, Leek Old Road, Rudyard, Staffordshire, ST13 8PW
Telephone: 01538 306921 - info@jprmotorsport.com
Open Monday to Friday 10am to 5pm