Inscription forms

Participation cost 600€. 25% of discount before 15th December

Inscripton form

TEAM DATA

PILOT DATA

CATEGORY

VEHICLE DATA

INVOICING DATA

 

 

Medical form

COMPULSORY MEDICAL DATA

IN CASE OF EMERGENCY, WARNING TO: (Person 1)

IN CASE NOT POSSIBLE TO CONTACT PERSON 1, WARNING TO:

MEDICAL INSURANCE AND / OR AGREEMENTS:


Payment can be done by bank transfer to:

ES66 2100 6296 7902 0007 8450

To confirm the registration must be sent the proof of payment to marketing@hispaniarally.com

Participation cost 800€. 25% of discount before 15th December

Inscription form

TEAM DATA

PILOT DATA

COPILOT DATA

VEHICLE DATA

INVOICING DATA

 

Pilot medical form

COMPULSORY MEDICAL DATA

IN CASE OF EMERGENCY, WARNING TO: (Person 1)

IN CASE NOT POSSIBLE TO CONTACT PERSON 1, WARNING TO:

MEDICAL INSURANCE AND / OR AGREEMENTS:


Co-pilot medical form

COMPULSORY MEDICAL DATA

IN CASE OF EMERGENCY, WARNING TO: (Person 1)

IN CASE NOT POSSIBLE TO CONTACT PERSON 1, WARNING TO:

MEDICAL INSURANCE AND / OR AGREEMENTS:


 

Payment can be done by bank transfer to:

ES66 2100 6296 7902 0007 8450

To confirm the registration must be sent the proof of payment to marketing@hispaniarally.com

CONTACTO

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