Registration English 2019 - Europa Truck Trial

Competition

We hereby register for the following runs of the Europa Truck Trial

Startart:

Simple start *Double start *

For double start, please fill out the form a second time

We register the vehicle for the category:

Category II *Category III *Category IV *Category Proto *

* Please check the relevant box

Person and team data

Start number 2018:

Team name: *

We hereby register the following persons:

Driver:

Surname: *

First name: *

Nationality: *

Date of birth

Street, No.

Postal Code:

City:

Country:

E-mail

Mobile phone number: *

Whatsapp:
yesno

Phone:

Sponsors:

Driving licence

Phone number in Emergency:

Contact (name) in emergency:

Insurance carrier:

Policy number of insurance:

1st Co-Driver:

Surname *

First name *

Nationality *

Date of birth

Street, No.

Postal Code

City

Country

Driving licence

E-mail

Mobile phone number:

Whatsapp:
janein

Phone:

Sponsors:

Phone number in Emergency:

Contact (name) in emergencyr:

Insurance carrier:

Policy number of insurance:

2nd Co-Driver:

Surname

First name

Nationality

Date of birth

Street, No.

Postal Code

City

Country

Driving licence

Mobile phone number:

Whatsapp:
yesno

Phone:

Sponsors:

Phone number in Emergencyr:

Contact (name) in emergency:

Insurance carrier:

Policy number of insurance:

Vehicle data

Series and close to production vehicles:

General data:

Manufacturer:

Type/Model:

Construction year:

ID number:

Approval certificate II available:
yesNo

Dates:

Wheelbase: (in mm)

Gauge: (in mm)

Width: (in mm)

Length: (in mm)

Drive:

Wheelsize (inches):

Power (kW):

Weight (to):

Engine:

Manufacturer:

Description:

Getriebe:

Manufacturer:

Description:

Prototypen:

Dates:

Wheelbase: (in mm)

Gauge: (in mm)

Width: (in mm)

Length: (in mm)

Drive:

Wheelsize (inches):

Power (kW):

Weight (to):

Vehicle frame:

Manufacturer:

Type/Model:

ID number:

Engine:

Manufacturer:

Description:

Transmission:

Manufacturer:

Description:

Axes:

Manufacturer:

Description:

Entry fee

The Nominal fee per competition with online registration maximum three weeks before the race: 210,00 Euro. The nominal fee for later entry or entry on the spot is 260.00 Euro.
The entry fee can be paid locally or transferred to the following account.
Account owner: OVS GMBH, Amstetten
IBAN: AT892020200000004994
BIC: SPAMAT21XXX
Understood

Liability waiver

I accept that liability waiver.
Accept

All planned competitions selected?

Please check above if you have registered for all planned competitions.
Yes

Data processing

Approval of data processing on reason the registration and for organizational measures before, during and after the season you have registered.