Entrant
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M 		TEAM
Team Name
                                               
Number of Drivers :
1st. Driver
Passport No. Surname - First Name
Address Postal Code City
Province Country Number Competition License Date of Birth

DLMXJVS
31123456
78910111213
14151617181920
21222324252627
2829301234
567891011
:: Today    ::Clear Date
Phone No. Mobile Phone FAX eMail
                                               
Number of Companions :
Number of cars :
Car
C
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R		 Make Model  
 
Year Category
   C.- Classics (Art.2.4)    Y.- YoungTimers 1990-1999 (only if permitted)    F.- Formula (Art.2.4)     
                                               
Various
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EVENTS IN WICH YOU PARTICIPATE
ENDURLARITY Participation
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S
S
T
R
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S
P
TRANSPONDER
Transponder Transponder Number
   Own
O
T
H
E
R
S
MISCELLANEOUS
Shared Box (€ 30 per vehicle)
Number of free practice sessions:
Number of breakfasts and meals:
Photo Report (€ 30 per vehicle):
Gasoline Service (€ 30):
Shared Assistance Team (€ 50):
  PAYMENT METHOD
    Pay all the registration now
      Pay € 395 now, remaining before the event.
  Total Amount
  Total amount to pay now
                 
  PAYMENT METHOD
  Bank Transfer
  Credit Card
  PayPal
  In Cash
                                           
Terms
B
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K 		Data for bank transfer:
To validate this application, the payment has to be made by Bank Transfer to:
Club RallyClassics
BBVA, of Pg Centenari, Vilanova del Valles 08410 (Barcelona) España.
BBVA, IBAN ES48-0182-9764-2302-0000-1717
SWIFT CODE: BBVAESMMXXX
Fill in and confirm this form, then send copy of payment to rallyclassics@rallyclassics.org
                                               
P
U
B
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I 		By accepting this entry form you consent to RallyClassics.Org being able to provide
                                               
____
 		Accept all the terms and conditions on the registration form
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31-07-2018 V2.0