Entry Form CER Online

DRIVER REGISTRATION REQUEST

RACE*

CHAMPIONSHIP* CER OPEN MICHELIN BECA UP TO 20

Test Navarra 17 Julio

Free Practice

COMPETITOR

Competitor*

Licencia Number *

Licencia holder *

Passport number competitor *

Team*

Name*

Mobile phone *

DRIVER 1

Name and first name*

Date of Birth*

Address*

City*

Postal Code*

ID Card*

Telephone*

Mobile*

Licence Number*

E-Mail*

DRIVER 2

Name and first name

Date of Birth

Address

City

Postal Code

ID Card

Telephone

Mobile

Licence Number

E-Mail

CAR

Brand and model*

Manufacturing year *

Transponder Nº *

Number IMEI Display*

BILLING INFORMATION

Fiscal Company name*

VAT number*

Address*

City*

Country*

Postal Code*

E-mail*

REGISTRATION FEES AMOUNT

CER: 1110,00€ + 21% IVA - VAT OPEN MICHELIN: 810,00€ + 21% IVA - VAT BECA UP TO 20 CER: 570,00€ + 21% IVA-VAT TEST NAVARRA 450,00€ + 21%IVA-VAT FREE PRACTICE 175,00€ + 21% IVA-VAT CAIXABANK 2100-0499-71-0200135857 IBAN ES41 2100 0499 7102 0013 5857 SWIFT: CAIXESBBXXX

I have read and I accept the privacy policy.*

I agree to receive information on the activities, services and products of V Line Organización de Eventos, SL.

Basic information on data processing (Regulation (EU) 2016/679 and Organic Law 3/2018)

Party responsible for data processing: V Line Organización de Eventos, SL.

Purpose: To offer, provide and invoice our services and products.

Lawful basis for processing: Consent of the data subject.

Recipients: The data will not be transferred to third parties, unless its transfer is required by law or is necessary in order to fulfil the purpose of the processing.

Rights: Access to, rectification of and erasure of data, along with all the other rights listed in the privacy policy.

More information in our privacy policy.

* Required fields

GT-CER