Formula Offroad Skien, Norway. September 19th and 20th 2010

 

 

 

Drivers name:

Telephone no.:

                                                                    

Street Address:

                                                                    

Normal driving licence no.:

 

City:

 

Race car licence no.:

 

Zip code:

 

Sporting driving licence no.:

 

Country:

 

Club:

 

E-mail:

                                                                    

 

Race car name:

 

Car race nr:

Team:                                                          

Class:

 

Body:       

                                                                    

Chassis:

 

Engine type:

                  

Horsepower (approx.):

 

Tyre type:

Nitro (yes/no):

 

Sponsors:

 

Additional information:

 

 

 

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Please fill out all sections so the speaker can inform the spectators. The program will be send to you by e-mail, please remember to fill in your e-mail address. Competitor’s names will be published on www.Pirate4X4.no
 

Date:                                                         Drivers signature:

 

Applications must be returned before 20th August 2010 to:

Terje Johannesen

Seterveien 37

3719 Skien

Norway        

Mob. +47 91 38 69 77                                                                        

E-mail:          ter-9 (at) online.no

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