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T ENTITY FORM HARLEY & DISTRICT LIGHT CAR CLUB LTD LOTION PARK HILL CLIMB SUNDAY 3I MARCH 20I3 Entries close on Monday I 8 March 2013 Please complete the following in BLOCK CAPITALS: NAME OF ENTRANT

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www.hdlcc.com is a website for a company named HDLCC.

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Employees or authorized personnel of HDLCC are required to file www.hdlcc.com.

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