| 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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| Your best lap time on Slovakia Ring : |
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| Your best lap time on Pannonia Ring : |
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Select a group :
Group A - Riders with license A or B, lap time Slovakia Ring below 2:25 min
Group B - Advanced riders without a license, or with a license B, lap time Slovakia Ring between the 2:25 - 2:45 min
Group C - Beginners led by our instructors, or riding alone, lap time Slovakia Ring over 2:45 min.
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| Group A, B or C : |
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Event charge :
1 day 24.04.2019 or 25.04.2019 payment before 24.02.2019 115 Euro
1 day 24.04.2019 or 25.04.2019 payment before 24.03.2019 125 Euro
1 day 24.04.2019 or 25.04.2019 payment after 24.03.2019 135 Euro
1 day 24.04.2019 or 25.04.2019 DUNLOP contract riders 80 Euro
2 days 24-25.04.2019 payment before 24.02.2019 210 Euro
2 days 24-25.04.2019 payment before 24.03.2019 225 Euro
2 days 24-25.04.2019 payment after 24.03.2019 250 Euro
2 days 24-25.04.2019 DUNLOP contract riders 150 Euro
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| Select the above, copy and paste : |
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Transponder charge :
Transponder 1 day 24.04.2019 included
Transponder 1 day 25.04.2019 included
Transponder 2 days 24-25.04.2019 included
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| Select the above, copy and paste : |
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Box charge :
Box 1 day 24.04.2019 95 Euro
Box 1 day 25.04.2019 95 Euro
Box 1 day 24.04.2019 or 25.04.2019 DUNLOP contract riders 75 Euro
Box 2 days 24-25.04.2019 185 Euro
Box 2 days 24-25.04.2019 DUNLOP contract riders 150 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 Slovakia Ring Circuit
on 24-25.04.2019
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. , 28. Rijna 3346/91, 702 00 Ostrava, Czech Republic
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