2022 Champions of the future Euro Series Round 2

ENTRIES OFFICIALLY CLOSE – 1 APRIL 2022

Driver Reference Code (if available)

Class

Driver

First Name

Last Name

International License Number

License Type

License Country of Issue

Date of Birth

Mobile or Telephone

Address Line 1

Address Line 2

ZIP Code

City

Country

Chassis Make

Team Name (if any)

Engine Make

Entrants

Name

License Number

Date of Birth

Contact Person – Name

Contact Person – Phone

Contact Person – Email

Address Line 1

Address Line 2

ZIP Code

City

Country

Billing

Name

Phone

Address Line 1

Address Line 2

ZIP Code

City

Country

VAT Number

Fees

Registration Fee

-- select a class --

Driver Package

-- select a class --

Total

n / a

Pay in advance

n / a

Pay on track

n / a

Scope of Supply and Services

The payment includes entry fee to the selected events.

Method of Payment

-- select a class --

Regulations

I have read and agree (Driver & Entrant) to be bound to all regulations applicable to this race. Those regulations include, but not limited to, FIA International Sporting Code (ISC) CIK/FIA International Karting Regulations 'General Prescriptions' and the 'Technical Regulations'.

Bank Transfer

COMPANY NAME: RGMMC GmbH

IBAN: CH33 0022 0220 1077 9260 M

BIC: UBSWCHZH80A NOTICE

ENTRY NOT ACCOMPANIED BY A FEE IN 3 DAYS SHALL BE NULL AND VOID

WHEN MAKING YOUR PAYMENT YOU MUST STATE INVOICE NUMBER AND DRIVERS NAME.

AL HACER SU PAGO, DEBE INDICAR EL NÚMERO DE FACTURA Y EL NOMBRE DEL PILOTO.

WANNEER U BETAALT, MOET U HET FACTUURNUMMER EN DE NAAM VAN DE PILOOT VERMELDEN.

LORAQUE VOUS EFFECTUEZ UN PAIEMENT, VOUS DEVEZ INDIQUER LE NUMERO DE FACTURE ET LE NOM PILOT.

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