V1 Bulletin adhésion ATD RACERS CLUB 2015 UK

Membership 'ATD Racers Club 2015' 'allows you to participate in Dragster Trophy 2015
and to be elected overall in the 2015 FRENCH TROPHY DRAGSTER
You will receive:
 The membership card “ATD Racers Club 2015 “
 The official stickers “ ATD Racers Club 2015 “ to necessarily stick to the racing vehicle
 The t-shirt TROPHY DRAGSTER 2015 (choose the size: S - M - L - XL - 2XL - 3XL)

DRAGSTER TROPHY 2015 Schedule
May 1, 2 and 3
June 6 and 7
July 4 and 5
July 24, 25 and 26

COURSES
CHAMBLEY 400m
All categories
CLASTRES 400m
All categories
LE PÊCHEREAU 200m
Street run and juniors
FRÉJUS 400m
All categories

20ème DRAG POWER SHOW (MEURTHE ET MOSELLE 54)
1er EUROPEAN DRAGSTER CLASTRES DRAGWAY (AISNE 02)

19ème Edition RUN CAP SUD

(INDRE 36)

21ème DRAG POWER SHOW (VAR 83)

CUT -----------------------------------------

MEMBERSHIP ‘’ATD Racers Club 2015’’.
Fields marked with * are mandatory. Thank you fill in capital letters.
LAST NAME *
Address

*

*

ZIP Code
Country

First NAME

*

City

*

*

Email *

*

Cellular phone

Web site
Phone

Business phone

Fax

MEMBERSHIP

T-SHIRT

UNISEX

Additional t-shirts for 10€

Size * :
Size

:

KIT RECOVER ON RACE (specify date * : …. /…. /2015)
SEND BY MAIL
DATE … / …. /2015

30€

OVERALL (to fill)

0€
5€
….€

Payment by cash in euro to mandate the order of Gérard BACHASSON to send at :
Gérard BACHASSON "Les Cévennes" 48C Rue Ernest Renan 69200 Vénissieux FRANCE
or payment on the spot before the race
Form available on the official website of the ATD (Association Trophée Dragster)
http://www.trophee-dragster.fr/ or Facebook page https://www.facebook.com/AssociationTropheeDragster
Contact ATD Racers Club : Gérard BACHASSON Email: ggzr169@gmail.com