Patrocinadores
ENTRY FORM
CONCURRENT
Name
Address
Postal Code
City
Tel. Number
Fax
E-mail
License Number
DRIVER 1
Name
Address
Postal code
City
Tel. Number
Fax
E-mail
License Number
Birth Date
Trofeo Juan Fernández (48 years old ≤ 1964)
DRIVER 2
Name
Address
Postal code
City
Tel. Number
Fax
E-mail
License Number
Birth Date
Trofeo Juan Fernández (48 years old ≤ 1964)
DRIVER 3
Name
Address
Postal code
City
Tel. Number
Fax
E-mail
License Number
Brithday date
Trofeo Juan Fernández (48 years old ≤ 1964)
VEHICLE DETAILS
Make and Model
Category
Year of Manufac.
Cylinder
Transponder
 
 

Please register me in the next Challenge:
Challenge FERODO SPORT
Challenge FERODO
Trofeo Seat Ibiza SC Trophy
Trofeo Ibérico de Resistencia

Enrolling in this Challenge, I agree to comply with all additional rules that are dictated by the Organizing Committee and confirmed that my vehicle is strictly Cup.
INVOCING DATA
Company
City
VAT Number
Postal code
Address
Country
Tel. number
E-mail


PAYMENT
The entry form must be completed before each meeting within the stipulated time and sent, together with receipt justifying the money transfer to: Vline Organización. Fax. 00.34.93.888.09.83 email: vicky@vlineorg.com

The entry form price are:
ALL THE SEASON: 4.830 € (VAT, insurance and Catering for Drivers included + a CER tee-shirt)
PER MEETING: 830 € (VAT and insurance included)

The entry form shall be sent to V-Line Organizacion on Friday the week before the race.

The payment must be made by bank transfer to the following bank account:
Bank account: 2100 0499 71 0200135857
Currency: euros
IBAN in electronic format: ES4121000499710200135857
BAN in paper format: IBAN ES41 2100 0499 7102 0013 5857
BIC (SWIFT CODE): CAIXESBBXXX
Please do indicate the driver(s) name(s) and Meeting.

With this petition of entry form, the person whose signature is below, declares that he knows the Rules and accepts them without reservation, for himself as well as for his drivers and he promise to comply with the complimentary norms which are made by the Organizing Committee.

IMPORTANT
If you do the entry form for the first time, please send the following documentation:
Driver’s photo (ID Card size)
Photo 3/4 of the car
License photocopy