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- Rally Albania 2017 - ASSISTANCE Entry Form
Fill this Entry Form to register you Assistance Vehicle.
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* Indicates required question
Name Surname
*
Your answer
Nationality
*
Your answer
Passport Number
*
Your answer
Driving Licence Number
*
Your answer
Mobile Number
*
Your answer
Email
*
IMPORTANT
Your answer
City / Country
*
Your answer
Owner
Your answer
Make / Model
*
Your answer
Plate Number
*
Your answer
Type of Vehicle
*
Your answer
Length (in meters)
*
Your answer
Trailer
*
Yes
No
If "YES": Length of trailer (in meters)
*
Your answer
Vehicle Moving Plan
*
Vehicle will follow on every bivouac.
Vehicle will be parked on the first bivouac in Tirana.
Assistance Type
*
On the Race Track
On asphalt and Assistance Points.
Only on bivouacs.
Extra assistants or mechanics. (maximum 5 people per team)
*
0
1
2
3
4
5
Name and Surname
1
Your answer
Name and Surname
2
Your answer
Name and Surname
3
Your answer
Name and Surname
4
Your answer
Name and Surname
5
Your answer
Hotel Accommodation (if "YES", you will get instructions by email)
*
Yes
No
EMERGENCY Person (Name Surname)
*
Your answer
EMERGENCY Person (Mobile Number)
*
Your answer
Particular or special requests.
Your answer
Submit
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