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Post entries with cheque/P.O.
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Website: |
www.munster4x4.com |
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E-mail: |
info@munster4x4.com |
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3 PEAKS CHALLENGE |
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This page is formatted to print A4 portrait (2
sheets). |
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VEHICLE OWNER: |
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Name: |
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Address: |
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Phone/fax: |
E-mail/website: |
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DRIVER DETAILS: |
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Driver 1: |
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Driver 2: |
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VEHICLE DETAILS (enter data or circle as appropriate): |
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Make & Model: |
Reg. No.: |
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Tyres |
Make & size: |
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Winch |
Front Rear Manual |
Office use only |
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Roll Cage |
Internal External |
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Locking Differentials |
Front Rear |
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Ground Anchor |
Yes No |
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G.P.S. |
Yes No |
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Compass |
Yes No |
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C.B. Radio |
IRISH
am |
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Other Equipment (Please
specify) |
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ALL VEHICLES MUST BE EQUIPPED WITH THE FOLLOWING ITEMS- |
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· An operable 2kg fire extinguisher with a current service
sticker, from any recognized safety organization. It must be mounted securely
within easy reach of the driver/co-driver at all times · A
comprehensive first-aid kit · A
suitable spare wheel/tyre, and the tools necessary
to change it · A full sized
shovel, with a fixed handle ·
Suitable recovery points at both front and rear · A
suitable recovery rope/strap, minimum length 6 metres
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ALL WINCH EQUIPPED VEHICLES MUST ALSO CARRY THE FOLLOWING- |
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· Tree
strop · Stamped
shackles · A winch
cable 'parachute', minimum size 900mm x 500mm (for steel cables only) ·
Winching gloves in good condition |
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Failure to carry any of the above will
lead to your vehicle being denied entry to this event |
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ENTRY FEE: €260/VEHICLE (full event), €130/VEHICLE/DAY |
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All
events organised by |
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In
consideration of the acceptance of this entry and my being permitted to take
part in this event, I agree to save harmless and to keep indemnified the landowner,
Munster 4x4 and their respective officials from any claims, costs, expenses
and demands in respect of death, injury, loss of or damage to the person or
property of myself, my drivers or passengers howsoever caused, arising out of
or in connection with my entry to or my taking part in this event. |
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SIGNED: |
DATE: |
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CLASS: |
GROUP: |
NUMBER: |