Inca Trail Classic Reliability Trial & 4x4 Adventure Drive

6^th October to 29^th November 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 Inca Trail Classic Reliability Trial & 4x4 Adventure Drive 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 five years over £200,000 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: ___________ Event no:___________

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

Signature: ___________ ___________ Date: ___________

(continue on separate sheet if necessary)

Form received by___________ ___________ (signature of official) Date:___________