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Duckworth
Racecourse Garage, Willingham Road, Market Rasen,Lincolnshire. LN8 3RE T: 08444 707380 F: 08704 844410

Join Duckworth Land Rover at Market Rasen Races - Competition Entry Form

For 2006 there are several race days in the year where you and a guest can go courtesy of Duckworth Land Rover. The dates are listed below and if you would like to go please select a date and complete and submit the Race Day Entry form . You will then be entered into a draw and 10 pairs of tickets will be drawn for each day. If you are lucky enough to be drawn we will contact you directly.

The closing date for entry into these competitions is
2 weeks prior to Race Meeting Date selected
Entries recieved after this time will not be included in the draw.

	* Select Race Day you would like to attend
			< -- Don't forget to choose a date !
*Name	Initials Surname
Guest name	Initials Surname
*Date of Birth
*Telephone (H)
Telephone (W)
Telephone (M)
*Address
*Postcode
*Email
Current Customer	Yes No
*Vehicle Reg
Vehicle Make	Land Rover Other	Model
		Type
			Other - Please specify

Approximately how long have you had your current vehicle?
When would you consider changing your current vehicle?
I am interested in	New and / or Used Vehicles
Land Rover Models of interest	Defender	Freelander	Discovery
* = required fields	Range Rover	Range Rover Sport

Go Back to Market Rasen Races Page

By Entering the draw you accept the competition terms and conditions