THE FOURTH CLASSIC MALTS
SCOTTISH RELIABILITY TRIAL
16 to 22 September 2001

The Charity Shield
Information and Entry Form


There is a long and honourable tradition, supported by HERO, for charity fund raising on long distance motoring events. We hope that participants on the Classic Malts Scottish Reliability Trial will be no exception to this.

For this reason, we are awarding the Charity Shield to the crew raising the greatest sum for one or more registered charities in connection with their entry. During the last six years over £240,000 has been raised by participants on HERO events.

If you wish to enter for this trophy please complete this form and hand it in at signing on.


Name: Car no:

I certify that we have raised and/or donated the following sums for the charities indicated below; that these are all charities registered with the Charity Commissioners; and that the sums shown below will be passed in their entirety to the charities mentioned.


Signature Date

Name of Charity Registered no Sum raised
(continue overleaf or on separate sheet if necessary)
Total
Form received by:
(signature of official)
Date: