Entry form, Eiropas čempionāts Formula R 1000

Sākums | Advance Programme | Time Table | Entry form

Alūksne, Latvija, 17.07 - 19.07

U.I.M. EUROPEAN CHAMPIONSHIP

Formula R 1000

July 17th-19th, 2009 Aluksne, Latvia


ENTRY FORM

Please send filled entry formto

fax: +371 67 228 672,

e-mail: info@lumsf.lv

Please send the entry form

Before July 1st


Class___________Start number_________________


Name, surname _______________________________________________


Birth date __________________________________________________


Club __________________________________________________



Address, phone No ____________________________________________


E-mail address _______________________________________________


BOAT Builder_________________________________________________


ENGINE Manufacturer__________________________________________



I declare that all information mentioned above is absolutely correct. I declare that I will conform to the rules of the U.I.M.andLatvianWaterMotorsportsFederation. I participate in this competition at my own risk and responsibility.




Competitor's signature




The application is confirmed by


Name, surname………………………………………………


Position .………………………………………………………



Of state ………………………..N.A.