Registration form .pdf


Nom original: Registration form.pdf
Auteur: Jim Mcfly

Ce document au format PDF 1.4 a été généré par Writer / OpenOffice 4.1.2, et a été envoyé sur fichier-pdf.fr le 18/02/2016 à 21:56, depuis l'adresse IP 82.237.x.x. La présente page de téléchargement du fichier a été vue 329 fois.
Taille du document: 297 Ko (1 page).
Confidentialité: fichier public


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Name: ......................................................
Address : ……………………………………………………………………………….
Phone : ……………………….
E-mail : ……………………………
Nickname: .................................
Vehicle Model: .......................................................
Registration (or serial number if not registered): .......................................
Company and No. insurance ....................................... ........................... ...............
Person's telephone number to contact in case of problems: ....................................... ..
USEFUL INFORMATION :
- Price of registration for the Weekend (August 20 and 21) per pilot: 230 €
- Possibility to arrive Friday between 18-22h (contact orga' if you'll come later in night)
- 3 by accompanying driver can (then € 2 for each additional accompanying) - Covers mandatory under vehicles.
- Resumption Used tires by drivers (Control + fine if not following the rules!)
REGULATION (CHEQUE or BANK TRANSFER)
Address to send the registration form filled out and signed + signed regulation :
Order of the check (230 €) BANG DOORS SOCIETY
Address: JIMMY HEBERT
130 rue de cambrai
62000 ARRAS
Transfer Order (230 €) BANG DOORS SOCIETY
IBAN: FR09 2004 1010 0523 8946 686 2L02
BIC: PSSTFRPPLIL
Made in ……………………………………………
Date ……… /……… / 2016
Driver Signing:


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