Entry form for 7th Czech New Energies Rallye | 17. – 19. 5. 2018

Championship

Title

Favorite starting town of Concentration Leg

Starting town

Organiser can be change starting town of Concentration Leg at the latest two weeks before event.

Competitor

Name of the team

Car

Make
Model
Type of drive
Year of Manufacture
Registration No.
Country of Registration
Charging in Parc Fermé

Compulsory for FIA E-Rally Regularity Cup!

Driver

Family name
First name
Nationality
Date of birth
Postal address
City
ZIP Code
Country
Driving licence No.
Country of issue
Mobile Telephone No.
E-mail
Competition licence owner
T-Shirt size

Co-driver

Family name
First name
Nationality
Date of birth
Postal address
City
ZIP Code
Country
Driving licence No.
Country of issue
Mobile Telephone No.
E-mail
Competition licence owner
T-Shirt size

Closing date for entries: April 30, 2018, 24:00

Charges

Entry fee: 480 €

FIA Driver’s licence / Accident insurance: according ASN of each state

Prices include VAT.

Entry fee include

  • participation in rally
  • third party liability insurance
  • car and crew designation
  • roadbook with map
  • professional timekeeping and processing of results
  • polo shirts
  • commemorative plaques
  • souvenir trophies for winners
  • transfer from the Parc Fermé to the accommodation in Český Krumlov (Thursday – Saturday)
    • Green taxi Český Krumlov (CNG vehicles), +420 380 712 712
  • ticket to pre-start gala dinner with reception – Hotel Růže, Český Krumlov
  • lunch during the Leg 1 – Exhibition area České Budějovice, Pavilion Z
  • dinner after the Leg 1 finish – Brewery Restaurant, Český Krumlov
  • lunch during the Leg 2 – Restaurace Lanovka, Lipno nad Vltavou
  • ticket to official Rally Afterparty – City Lounge music club & bar

Payment

Account No.: 2102956758/2700
UniCredit Bank České Budějovice
IBAN: CZ34 2700 0000 0021 0295 6758
SWIFT: BACXCZPP
Note: Driver’s name

Charges must be sent to promoters account at the latest April 30, 2018.