2017 Entry form for First driver Name and surname Adress: Street & number Postal code, town, country Mobile phone E.mail Club Second driver / Navigator Name and surname Adress: Street & number Postal code, town, coutry Mobile phone E.mail Vehicle data: Make Type cubic capacity (cm³) Year of construction registration number Engine power (HP) Insurance I agree to participate at the ALPE LPE ADRIA CLASSIC CHALLANGE (AACC) 2017 according to the AACCregulations Place and date: .......................................... Signature of driver: ....................................... The organizer is not liable for any damage to participants or vehicles, nor for injuries or damages caused to third parties. With the signature ignature of this registration form the participant accepts the rules and conditions of this event. Entry-form to be sent to: 1. C.A.R Team Ferlach Görtschach 105 A-9170 9170 Ferlach AUSTRIA Tel.: +43-(0)4227-3252 e-mail: [email protected] The registration fee (30,- €) has to be paid to the following account: Account holder: 1. C.A.R. Team Bank: VOLKSBANK KAERNTEN KAE SUED FERLACH IBAN: AT514690030016580000 • • • Purpose: AACC-2017 + name and surname or alternatively, payable in cash at the administrative checks of the first events (Triest-Opicina Opicina Historic, Historic Colli Goriziani Historic, FIZZERS_Karawanken-Classic Classic) Per favore inserire la causale del versamento come segue: 'AACC 2017' + i nomi dei componenti l'equipaggio. Namen: AACC-2017 + ime in priimek ali alternativno, plačljiva pla ljiva v gotovini ob upravnih pregledih prvega dogodka (Triest-Opicina Historic , Colli Goriziani Historic, FIZZERS_Karawanken-Classic) FIZZERS_Karawanken Nomination to AACCAACC-events 2017 Beside your entry for AACC you can also nominate fort he AACC-events mentioned below. Your entry / entries will be forwarded to the respective organizer. Mit der Abgabe Ihrer Nennung zum AACC können Sie gleichzeitig für die u.a. AACCBewerbe nennen. Ihre Nennung wird an den jeweiligen Veranstalter weiter geleitet. Assieme all’iscrizione all’AACC potete effettuare l’iscrizione anche ai singoli eventi. Tali iscrizioni verranno comunicate agli organizzatori delle rispettive manifestazioni. Ob prijavi v prvenstvo AACC se lahko prijavite tudi na posamezne prireditve. Vaša prijavnica bo poslana organizatorjem izbranih prireditev Trieste-Opicina Historic 2nd of April 2017 YES NO Please note that the Trieste-Opicina Historic includes two days of competition (1.-2. April). Only Sunday, 2. April, is valid for AACC. If you are interested in the full event please visit the organizer's website www.clubdeiventiallora.org Colli Goriziani Historic 23rd of April 2017 YES NO Please note that the Colli Goriziani Historic includes two days of competition (22.-23. April). Only Sunday, 2. April, is valid for AACC. If you are interested in the full event please visit the organizer's website http://www.gasclub.org/calendario.htm FIZZERS-Karawanken-Classic 13th of May 2017 YES NO Please note that the FIZZERS-Karawanken-Classic includes three days of competition (11.-13. May). Only Saturday, 13. May, is valid for AACC. If you are interested in the full event please visit the organizer's website www.carteam-ferlach.at Croatian Classic Marathon 28th of May 2017 YES NO Please note that the Croatian Classic Marathon includes two days of competition (27.-28. May). Only Sunday, 28. May, is valid for AACC. If you are interested in the full event please visit the organizer's website http:// www.starikotaci.hr Slovenjia Classic Marathon 9th of September 2017 YES NO Please note that the Slovenjia Classic Marathon includes two days of competition (8.-9. September). Only Saturday, 9. September, is valid for AACC. If you are interested in the full event please visit the organizer's website http://www.codelli.com Tafrent-Classic-Sprint 24th of September 2017 YES NO
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