ENTRY FORM FORD FIESTA SPRINT CUP NL – SEASON 2018 HOW TO USE THIS ENTRY FORM This is an electric form that makes it possible to write down your details, save and email the form without having to print, scan or post it. This form uses PDF Reader, it might be necessary to update this software to fill in this form. The software is free from Adobe, to download this software please go to: https://get.adobe.com/nl/reader/ STEP 1) Save this form to your computer STEP 2) Load the form in PDF reader STEP 3) Compete the form STEP 4) Save the form to your computer STEP 5) Attach the saved PDF file to an email and send it to: [email protected] Also it is always possible to print the form, write down your details and send it back by email or mailbox to: V-Max Racing Management B.V. Schapendreef 78 4824 AM Breda Netherlands Email: [email protected] When you have any questions please call: 0031 -765430200 ENTRY FORM FORD FIESTA SPRINT CUP NL – SEASON 2018 The undersigned wishes to enter the Ford Fiesta Sprint Cup Netherlands in 2018 organized by V-Max Racing Management B.V. in Breda. By entering the entrant and driver(s) of the registered car agrees with the sportive and technical regulations FFSC 2018 and the general terms and conditions of V-Max Racing DRIVER INFORMATION Management B.V. TEAM NAME: DRIVER: FULL NAME: NATIONALITY: DATE OF BIRTH: LICENCE NO: LICENCE LEVEL: LICENCE ASN: ADDRESS: POSTAL CODE: CITY: COUNTRY: MOBILE NO: EMAIL: 1 FORD FIESTA SPRINT CUP NL CALENDAR 2018 THE NETHERLANDS CIRCUIT ZANDVOORT 18, 19 & 20 MAY 2018 BELGIUM CIRCUIT ZOLDER 30 JUNE & 1 JULY 2018 THE NETHERLANDS TT CIRCUIT ASSEN 17, 18 & 19 AUGUST 2018 THE NETHERLANDS CIRCUIT ZANDVOORT 8 & 9 SEPTEMBER 2018 BELGIUM SPA-FRANCORCHAMPS 29 & 30 SEPTEMBER 2018 THE NETHERLANDS TT CIRCUIT ASSEN 20 & 21 OCTOBER 2018 ENTRY FEE FULL SEASON (6 RACES) PAYMENT € 4.500,00 EXCL. VAT First payment of 100% is due upon signing this entry form THE DRIVER ALSO WANTS TO JOIN THE FORD FIESTA SPRINT CUP BE RACES AT: BELGIUM CIRCUIT ZOLDER 30 JUNE & 1 JULY 2018 € 500,00 BELGIUM CIRCUIT ZOLDER 9 & 11 AUGUST 2018 € 500,00 THE NETHERLANDS TT CIRCUIT ASSEN 20 & 21 OCTOBER 2018 € 500,00 PRICES ARE EXCLUSIVE VAT Included in your entry fee is: ● 2 x Free Practice 30 minutes ● Qualification of 20 minutes ● 2 x Races of 30 minutes ● 4 x Pitlane Tickets ● 4 x Paddock Tickets ● 1 Paddock Ticket Truck ● 1 x Paddock Ticket Car* ● 2 x entries for the Hospitality tent of organisation *Depends on possibilities at circuit 2 INFORMATION FOR SENDING INVOICE COMPANY NAME: RESPONSIBLE: ADDRESS: POSTAL CODE + CITY: COUNTRY: VAT NUMBER: SIGNATURES PLEASE SIGN HERE: PLEASE SIGN HERE: Place: Place: Date: Date: Signature 1st driver: Signature 2nd driver: Please send this form back to: ACCOUNT DETAILS V-Max Racing Management B.V. IBAN: NL68FVLB0225678411 Schapendreef 78 4824 AM BREDA BIC: FVLBNL22 THE NETHERLANDS BTW: NL801287078B01 Email: info@[email protected] 3 .