THE CORNWALL BUS PRESERVATION SOCIETY

(in association with the Thames Valley & Great Western Omnibus Trust)

10th PENZANCE VR REVIVAL & VINTAGE BUS RUNNING DAY

Sunday 16th April 2017

VEHICLE ENTRY FORM

Name______Society/ Company (if applicable)______

Address______

______Post Code______

Phone:______(day) ______(eve) ______(mob)

Email:______

VEHICLE ENTRY DETAILS

Registration No. ______Year Built ______

Chassis Make / Model______

Body Make / Type ______

Original / Principal Operator ______Fleet no______

Brief History and Please Supply Photo for Programme:

______

______

______

______

Please circle how many hours you would like to operate in service: 3 4 5 6

All vehicles to be used in service must have insurance valid for carrying full passenger loads in service on free bus services. Please provide a copy of your insurance certificate with your entry and bring a valid insurance certificate, MOT test certificate and driving licences for all drivers with you on the day for checking.

All vehicles first registered before 7 January 1960 are now exempt from MOT testing. Consequently we shall require documentary evidence of the roadworthiness of such vehicles either with your entry or at least two weeks prior to the event. This may be in the form of a valid voluntary MOT or a roadworthiness inspection record signed by a person competent to undertake such inspection in accordance with the relevant VOSA Inspection Manual. If you require more information about this requirement please contact Colin Billington on 07990 505373 or .

Declaration: (Please read carefully and sign the section below)

I declare that my entry is insured in accordance with the Road Traffic Act which includes Public Liability Cover (including rally / show use), has a limit of liability of not less than £500,000 for any one accident and, if proposed to be made available for use on public bus rides, that it is insured for such purpose. I confirm that the driver(s) of the vehicle entered by me holds a current licence of the appropriate class. I confirm that the vehicle will be presented in a roadworthy condition and documentary evidence of roadworthiness will be provided, if necessary, in accordance with the above requirement. I/we will conform with directions given on the day by the Cornwall Bus Preservation Society.

Signed______Name (please print)______

Submission by email to confirms that you comply with the above declaration

Date ______

IMPORTANT

Please return your completed entry form as soon as possible and no later than 17th March 2017

To: Mel Williams, 10 Collygree Park, Goldsithney, Penzance, Cornwall, TR20 9LY

Or email to: