Info SPORTING

Notes*:

Entry Form Rally Lloret VELOCITAT

COMPETITOR - ESCUDERIA

Competitor - Escuderia*

Licence Number

Licencia Holder

Passport Number Competitor - Escuderia*

DRIVER

Name and First Name*

Date of Birth*

Address*

City*

Postal Code*

ID Card*

Mobile*

Licence Number

E-Mail*

CO-DRIVER

Name and First name*

Date of Birth*

Address*

City*

Postal Code*

ID Card*

Mobile*

Licence Number

E-Mail*

CAR

Brand and Model*

displacement*

Manufacturing Year*

Car Registration*

Group and Class*

SHAKEDOWN *

Shakedown* YES NO

REGISTRATION FEES AMOUNT

VELOCITAT: Acceptant la publicitat facultativa .......... 540 Euros No acceptant la publicitat facultativa ........840 Euros SHAKEDOWN: Acceptant la publicitat facultativa .......... 150 Euros No acceptant la publicitat facultativa ........250 Euros CAIXABANK 2100-0499-71-0200135857 IBAN ES41 2100 0499 7102 0013 5857 SWIFT: CAIXESBBXXX

I have read and I accept the privacy policy.*

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

V-LINE ORGANIZACIÓN
C. Est, nau 1-2 · 08518 La Torre d'Oristà
Tel. 93 888 09 83 · info@vlineorg.com

Rally Lloret de Mar

Info SPORTING

Entry Form Rally Lloret VELOCITAT

COMPETITOR - ESCUDERIA

DRIVER

CO-DRIVER

CAR

REGISTRATION FEES AMOUNT