Entrant
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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

dolumamijuvi
30123456
78910111213
14151617181920
21222324252627
28293031123
45678910
:: Today    ::Clear Date
Phone No. Mobile Phone FAX eMail
                                               
Number of Companions :
Number of cars :
Car
C
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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
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S
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TRANSPONDER
Transponder Transponder Number
   Own
O
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H
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MISCELLANEOUS
Shared Box (€ 25 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 € 140 now, rest before 10-10-2018.
  Total Amount
  Total amount to pay now
                 
  PAYMENT METHOD
  Bank Transfer
  Credit Card
  PayPal
  In Cash
                                           
Terms
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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 or by fax (+34) 938458544.
                                               
P
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By accepting this entry form you consent to RallyClassics.Org being able to provide
your contact information to our partners Porsche and Chopard for promotional purposes.
                                               
____
Accept all the terms and conditions on the registration form
                                               
Show sport & LOPD terms
 
31-07-2018 V2.0