Entrant
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M 		TEAM
Team Name
                                               
Driver
Surname - First Name
Address Postal Code City
Province Country Passport No.
Phone No. Mobile Phone eMail
                                               
Codriver
Surname - First Name
Address Postal Code City
Province Country Passport No.
Phone No. Mobile Phone eMail
                                               
2nd Navigator (trucks only)
Surname - First Name
Address Postal Code City
Province Country Passport No.
Phone No. Mobile Phone eMail
                                               
Car
C
A
R		 Make Model  
 
Registration number Category
Category TRUCKS Category SSV
Year      
Category 4x4 Classic Category 4x4 Modern
                                               
Trophies and Packs
T
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P
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Y
S

&

P
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S		 Registration / Packs
Base Price Registration €2400 first 20 registrations made and paid before June 1, €2900 rest.

Stella GPS tracking (€330)
Digital Roadbook Tablet (€220)
Photo-Video Report (€500)
Assistance Vehicle Registration (€900) Accredited vehicle for assistance tasks, prohibited otherwise.
CLASSIC COVER insurance (€100/PAX):
Number of rooms Hotel 7 nights MP in HD/PAX (500€/PAX):
Number of mechanical accommodation packs (€500/PAX)
All assistance members staying with the organization
will be able to access dinners, including the Merdani bivoyac:
Number of VIP Companion Programs (2350€/PAX)
Includes Junior Suite in Merzouga and Xaluca in HD.
Physiotherapist plans 5 sessions (€1000)
Shared local assistance (€1500)
 
Interested in... (Prices based on demand)
Flights Ferry (BCN 11/09-Nador 24/11). Groups from 12PAX. Transport Upgrade Hotel
Total Price
                                               
  PAYMENT METHOD
  Bank Transfer
  Credit Card
  PayPal
 
                                           
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
                                               
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
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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.
                                               
____
 		Accept all the terms and conditions on the registration form
If you experience any technical problems with this form, please contact webmaster@rallyclassics.org
                                               
                                                 
                                                 
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