| Rider data |
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| Surname : |
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| Name : |
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| Birthdate dd.mm.yy : |
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| Nationality : |
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| Address |
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| Street and No.: |
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| Zip code / City / Country : |
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| Contact |
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| Telephone : |
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| E-mail : |
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| Motorcycle |
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| Motorcycle brand : |
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| Motorcycle model : |
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| Capacity : |
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| Insurance number : |
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| Beginners Yes / No : |
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| Best lap time on Pannonia Ring : |
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| Best lap time on Slovakia Ring : |
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Select a group :
Group A - Riders with license A or B, lap time Pannonia-ring below 2:15 min
Group B - Advanced riders without a license, or with a license B, lap time Pannonia-Ring between the 2:15 - 2:35 min
Group C - Beginners led by our instructors, or riding alone, lap time Pannonia-ring over 2:35 min.
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| Group A, B or C : |
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Event charge :
1 day 27.06.2018 or 28.06.2018 payment before 30.03.2018 115 Euro
1 day 27.06.2018 or 28.06.2018 payment before 27.04.2018 125 Euro
1 day 27.06.2018 or 28.06.2018 payment after 27.04.2018 135 Euro
2 days 27-28.06.2018 payment before 30.03.2018 210 Euro
2 days 27-28.06.2018 payment before 27.04.2018 225 Euro
2 days 27-28.06.2018 payment after 27.04.2018 250 Euro
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| Select the above, copy and paste : |
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Transponder charge :
Transponder 1 day 27.06.2018 included
Transponder 1 day 28.06.2018 included
Transponder 2 days 27-28.06.2018 included
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| Select the above, copy and paste : |
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Box charge :
Small box 1 day 27.06.2018 105 Euro
Small box 1 day 28.06.2018 105 Euro
Small box 2 days 27-28.06.2018 200 Euro
Big box 1 day 27.06.2018 125 Euro
Big box 1 day 28.06.2018 125 Euro
Big box 2 days 27-28.06.2018 240 Euro
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| Select the above, copy and paste : |
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| Comments : |
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Taking part in training I agree to the following conditions :
I declare that I agree to comply with the principle of getting around the track, have valid liability insurance
and I take full responsibility for any consequences of the training taking place in the Pannonia Ring Circuit
on 27-28.06.2018
At The same time I declare, that if case of any health and material damage I will not make any complain against the organizer
-Supercar Club Czech s.r.o. , Svabinskeho 1700/4, 700 20 Ostrava, Republika Czeska
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