Winter Rallye Rejviz 2019 – Registration Form for other Participants

Please fill in, items marked bold are mandatory!

We register to attendance in the Winter Rallye Rejviz 2019 as:

Organization:
Organization ID:
Address:
Street:
City:
ZIP:
Country: Please use international vehicle registration codes, e. g. A, PL, USA, TK...
Contact person:
First name:
Middle name:
Family name:
Cellphone:
E-mail:
Person 1:

Title First name Middle name Family name Title
Gender: Date of birth (MM/DD/YYYY): //
Passport/ID Card No.:
Home address:
Street:
City:
ZIP:
Country: Please use international vehicle registration codes, e. g. A, PL, USA, TK...
Cellphone:
E-mail:
Arrival: Departure:
Person 2:

Title First name Middle name Family name Title
Gender: Date of birth (MM/DD/YYYY): //
Passport/ID Card No.:
Home address:
Street:
City:
ZIP:
Country: Please use international vehicle registration codes, e. g. A, PL, USA, TK...
Cellphone:
E-mail:
Arrival: Departure:
Person 3:

Title First name Middle name Family name Title
Gender: Date of birth (MM/DD/YYYY): //
Passport/ID Card No.:
Home address:
Street:
City:
ZIP:
Country: Please use international vehicle registration codes, e. g. A, PL, USA, TK...
Cellphone:
E-mail:
Arrival: Departure:

Acceptance:

We declare that we have read and understand the conditions and rules of the Rallye Rejviz.
We agree with the collection of personal data for organisation of the Rallye Rejviz.

Please fill control code from picture:

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We will send confirmation of registration and proforma invoice for the payment of participation fees to e-mail of the contact person as soon as possible.
Automatic confirmation mail will be sent in few moments. Please check your mailbox and spam folder, contact us if you do not receive confirmation e-mail within one hour.