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NEXT OF KIN to be contacted in the event of an emergency NAME ENTRANT S LICENCE NUMBER if applicable ENTRANT S SIGNATURE DRIVER S SIGNATURE Entries to be forwarded to Hanna Goodyear Entries Secretary Woodbury Grange Great Witley Worcestershire WR6 6JJ Telephone 01299 890028 Email entriessec hdlcc.com For H DLCC use only Date entry received Form M1 10 January 2017 v4 Acknowledgement sent Post or Email. PLEASE USE A SEPARATE FORM FOR EACH EVENT. THIS INCLUDES CONSECUTIVE ONE DAY MEETINGS....
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