Entry form 2010
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Personal details
Firstname:
Familyname:
Address:
Postal Code:
Town:
Country:
E-mail address:
Racing licence nr:
Car details
Make & Model:
Engine capacity:
Colour:
Year of production:
Racing nr:
Transponder Nr:
only if available
Tyre make & type:
Rims:
Fill out your laprecord, using the tyres above, on one of the circuits below:
Zandvoort
Spa Francorchamps
Dijon Prenois
FREE Bodywarmer

In order to qualify for your FREE Bodywarmer, register and pay using the dates below:

Dijon Prenois - registration + payment until Mon. 13 Sept.
Legendary circuits

Tick your event below and we'll be happy to reserve your gridslot. Your entry will be confirmed, right after receipt of your payment. Prices are all-inclusive.

Q = qualifying / R = race
only € 2.200

The 'Season Deal' includes four raceweekends, the full catering-service for you ánd your spouse/guest, and two 'Legendary Circuits' Bodywarmers.

€350 or £299
€550 or £475
€595
€ 550.-
Free
Catering service (for drivers ánd teams only)

We'll be happy to offer our catering service to you ánd your team at clubprices. Catering for children (0-12 years) is free of charge. Indicate the number of persons below (12+ only). This service is not compulsory.

Payment

Your entry will be confirmed, right after receipt of your payment.
To: Foundation S.E.T.T. - Address: Meer en Duin 1, 2163HA LISSE, Holland
RABO Bank, Utrecht, Netherlands. Bank account nr: 3069.43.557
IBAN: NL97 RABO 03069 43557 - SWIFT/BIC: RABONL2U

Remarks and/or questions
Thanks!

Thank you for signing up with F.I.S.C. 'Legendary Circuits'. The Team and I are very much looking forward to your arrival in our Paddock.
With kind regards,
Pieter BAKKER

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Dijon Prenois
1. October 2010, 09:00
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