Inscription english 2021 - Europa Truck Trial

Competition

We hereby register for the following runs of the Europa Truck Trial

Startart:

Simple start *Double start *

For double start, please fill out the form a second time

We register the vehicle for the category:

Category II *Category III *Category IV *Category Proto *

* Please check the relevant box

Person and team data

Start number 2019:

Team name: *

We hereby register the following persons:

Driver:

Surname: *

First name: *

Nationality: *

Date of birth

Street, No.

Postal Code:

City:

Country:

E-mail

Mobile phone number: *

Whatsapp:
yesno

Phone:

Sponsors:

Driving licence

Phone number in Emergency:

Contact (name) in emergency:

Insurance carrier:

Policy number of insurance:

1st Co-Driver:

Surname *

First name *

Nationality *

Date of birth

Street, No.

Postal Code

City

Country

Driving licence

E-mail

Mobile phone number:

Whatsapp:
janein

Phone:

Sponsors:

Phone number in Emergency:

Contact (name) in emergencyr:

Insurance carrier:

Policy number of insurance:

2nd Co-Driver:

Surname

First name

Nationality

Date of birth

Street, No.

Postal Code

City

Country

Driving licence

Mobile phone number:

Whatsapp:
yesno

Phone:

Sponsors:

Phone number in Emergencyr:

Contact (name) in emergency:

Insurance carrier:

Policy number of insurance:

Vehicle data

Series and close to production vehicles:

General data:

Manufacturer:

Type/Model:

Construction year:

ID number:

Approval certificate II available:
yesNo

Dates:

Wheelbase: (in mm)

Gauge: (in mm)

Width: (in mm)

Length: (in mm)

Drive:

Wheelsize (inches):

Power (kW):

Weight (to):

Engine:

Manufacturer:

Description:

Getriebe:

Manufacturer:

Description:

Prototypen:

Dates:

Wheelbase: (in mm)

Gauge: (in mm)

Width: (in mm)

Length: (in mm)

Drive:

Wheelsize (inches):

Power (kW):

Weight (to):

Vehicle frame:

Manufacturer:

Type/Model:

ID number:

Engine:

Manufacturer:

Description:

Transmission:

Manufacturer:

Description:

Axes:

Manufacturer:

Description:

Entry fee

The entry fee per competition per team from 01-01-2020 on is € 280.
The online registration is available at https://www.europatrucktrial.org/teamanmeldung/ in German / French / English and will be sent by email to leitung@europatrucktrial.at after it has been completed correctly.
In addition to the competition and the technical acceptance carried out beforehand, the entry fee also includes 6 tickets for the above-mentioned team and the authorization to drive into the paddock with the camping mobile home plus the transporter and to use the infrastructure provided there.
The presentation of the team in the form of team cards on the WEB website is also included. Please also always control your datas and send information / photos to leitung@europatrucktrial.at.
The entry fee can be paid on site or transferred to the following account.
(Invoice will be sent via email after receipt).
Account owner: OVS GMBH, Amstetten
IBAN: AT892020200000004994
BIC: SPAMAT21XXX
Understood

Liability waiver

I accept that liability waiver.
Accept

All planned competitions selected?

Please check above if you have registered for all planned competitions.
Yes

Data processing

Approval of data processing on reason the registration and for organizational measures before, during and after the season you have registered.