PCGB Regional Concours Entry Level Entry Form


1.	Region  Holding the Concours (Number)		......................................................................

2.	Name					......................................................................

3.	PCGB Membership Number			......................................................................

4.	Address	(including email address)		......................................................................
						
						......................................................................

5.	Model					......................................................................

6.	Year					......................................................................

7.	Registration Number				......................................................................

8.	Mileage					......................................................................

9.	VIN Number (this will not be disclosed)	......................................................................

10. 	Member's Region Number if different to question 1	......................................................................


Please save this form using your car registration as the filename. Return the form to your Regional Organiser as an email attachment (email address can be found in Porschefile).