World Race Endurance 24h - 11-13 April 2014
REGISTRATION FORM

The race subscription has to be returned within the 15th of March 2014.

Within 5 days from the affermative answer for the subscription you have to send 250 Euros
(bank motive "WRE 24h + name Team") to the following bank account IBAN:
IBAN IT59 I069 3065 9400 0000 0002 023 - BIC CODE: BMPRIT2P - titled to Slot_up ASD
Loc. Roncole Verdi 14/15 - 43011 Busseto (Parma) - P.IVA 02508560345

The subscription can be considered effective only when the payment has been done.


La richiesta di partecipazione va inoltrata entro il 15 Marzo 2014.

Entro 5 giorni dalla mail di risposta con l’accettazione, andrà effettuato il versamento di 250 Euro
con causale "WRE 24h + nome Team", sul conto bancario:
IBAN IT59 I069 3065 9400 0000 0002 023 - Intestato a Slot_up ASD
Loc. Roncole Verdi 14/15 - 43011 Busseto (Parma) - P.IVA 02508560345
5
L’iscrizione si intende confermata solo a pagamento effettuato.

Team name*

Country*

 

Team leader *
Name/Surname

E-mail *

Phone*

Driver 1*
Name/Surname

Driver 2*
Name/Surname

Driver 3*
Name/Surname

Driver 4*
Name/Surname

Driver 5*
Name/Surname

Driver 6*
Name/Surname

Communication

 

* required