Entrant
T
E
A
M 		TEAM
Team Name
                                               
Driver
Passport No. Surname - First Name
Address Postal Code City
Province Country Date of Birth

DLMXJVS
2829301234
567891011
12131415161718
19202122232425
2627282930311
2345678
:: Today    ::Clear Date
Phone No. Mobile Phone eMail
                                               
Codriver 1
Passport No. Surname - First Name
Address Postal Code City
Province Country Date of Birth

DLMXJVS
2829301234
567891011
12131415161718
19202122232425
2627282930311
2345678
:: Today    ::Clear Date
Phone No. Mobile Phone eMail
                                               
Car
C
A
R		 Make Model  
Registration number Year  
 
                                               
4x4 Off-Road Class - Pre-1990 Class (Manufactured until 12/31/1989) 4x4 Off-Road Class - Pre-2000 Class (Manufactured between 01/01/1990 and 12/31/1999) 4x4 Off-Road Class - Post-2000 Class (Manufactured after 01/01/2000)
4x2 Class w/Prep. Trucks Class Prototypes Class
SSV Class    
                                               
Notes
O
T
H
E
R
S 		Comments
                                               
Various
O
T
H
E
R
S		 Plus
Registration fees (€2,990/Team) (€500 discount until 05/31/2024) 2.490,00
Equipment Accommodation. Hotel Xaluca Erfoud (12/09 to 18/09 excl. 17/ 09) + Haima Kemkemia Luxe Noir (17/09) (1200€/2pax) 1.200,00
Insurance (mandatory) (€100/pax) ,00
Anube Sport Tracking (STELLA+SPICA) (€350/vehicle) (INSTALLATION KIT NOT INCLUDED). 350,00
Digital Photographic Report (€200) ,00
Upgrade to individual rooms, according to demand and availability. ,00
Tablet with digital Roadbook (€250) (includes installation kit) (deposit of €300). ,00
Local support team (€500) ,00
Driver T-shirt Size:
Size XS
Size S
Size M
Size L
Size XL
Talla XXL 		,00
Copilot 1 T-shirt Size
Size XS
Size S
Size M
Size L
Size XL
Size XXL 		,00






Number of additional RallyClassics Africa T-shirts:
,00
       
  Total Price
                     
  PAYMENT METHOD
  Bank Transfer
  Credit Card
 
 
                                     
Terms
B
A
N
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
                                               
S
P
O
R
T
S 		The undersigned declares to be aware of the terms and conditions of the Regulations, and submits to them without reservation, both on his/her own behalf and his/her drivers and hereby requests registration in the rally.
                                               
L
O
P
D 		In accordance with the provisions of Law 15/1999 we inform you that your personal data are part of a file that is CLUB RALLYCLASSICS.ORG, Plaça Països Catalans, 49, 08410-VILANOVA DEL VALLÉS (Barcelona).
The purpose of this file is to carry out the management and control of rally participants.
If you wish to exercise your rights of access, rectification, cancellation and opposition, write to the address and enclose a photocopy of your passport.
The participant consents and authorizes that their data can be used to inform you of the activities organized by CLUB RALLYCLASSICS, and so that they can be transferred to the collaborating entities of CLUB RALLYCLASSICS.
The participant gives his express consent to his name, image and the vehicle with which he participates, can be used for the dissemination of news, recordings or retransmissions related to the test in which he has registered.
                                               
P
U
B
L
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
If you experience any technical problems with this form, please contact webmaster@rallyclassics.org
                                               
Show sport & LOPD terms
 
16-04-2024 V2.3