2023 Champions of the future Euro Series Round 5 Franciacorta / Italy

ENTRIES OFFICIALLY CLOSE – 11th August 2023

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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