To Be Valid, This Entry Form Must Be Accompanied

TO BE VALID, THIS ENTRY FORM MUST BE ACCOMPANIED BY THE PAYMENT OF THE DEPOSIT ENTRY FORM 2016 SEASON

Car number requested : Manufacturer : Name of the team : Driver 1 : Driver 2 : Invoicing details :

(Important : VAT number)

Team Manager (mandatory) : (Name, First Name, e-mail and mobile number)

Entry “race by race” Prices are excluding 6% VAT if applicable* International GT Open – 20 – 22 May 3.500€ excl. VAT DTM – 15 – 17 July 3.500€ excl. VAT 24 Hours of Zolder – 18 & 20 August 3.500€ excl. VAT Luxembourg Trophy – 24 – 25 September 3.500€ excl. VAT Formido Final Races – 21 – 23 October 3.500€ excl. VAT Kronos 10 Hours of Mettet – 29 – 30 October 3.500€ excl. VAT TOTAL 21.000€ excl. VAT

ANY ENTRY BEFORE 15th OF APRIL 2016 19.500€ excl. VAT Entry full season

I confirm my entry for full season 2016 SPECIAL CONDITIONS SPECIAL VALID ONLY UNTIL 15TH OF APRIL 2016 TOTAL DISCOUNT UNTIL 15 OF APRIL 2016 PRICE Prices are excluding 6% VAT if applicable* FROM 16 CARS ENTERED FOR THE SEASON 19.500€ 16.575 € 2.925€ excl. VAT excl. VAT FROM 21 CARS ENTERED FOR THE SEASON 19.500€ 15.600 € 3.900 € excl. VAT excl. VAT Kronos Events bank account details

Bank BNP Paribas Fortis - Bruxelles // IBAN BE86 0016 6889 0050 // BIC GEBABEBB

* For foreign teams: exemption from VAT according Article 18 § 1 – al 2,6° Belgian VAT Code with valid VAT number

I confirm my entry for the full season and I transfer a deposit of 10.000€ before 15th of April 2016 Date & signature :

This entry is firm and final and cannot be refund Entry form to return to [email protected]

Rue de Pieds d’Alouettes 37 IBAN BE86001668890050 www.kronosevents.be Tel +32 81 63 23 80 1 B-5100 Nannine BIC GEBABEBB [email protected] Fax +32 81 40 17 25