RACSPA - Registrations

Legend Boucles Series @ Racing Festival 2021

Subscription Form

Information

Car

Brand

Model

Year of the car

Displacement

Approval form date

Pilot

Name

First name

Birthdate dd/mm/yyyy

License number

Nationality

Street name

Number

Box

Post code

City

Country

Phone number

I have read and I accept waiver of recourse.

Copilot

Name

First name

Birthdate dd/mm/yyyy

License number

Nationality

Street name

Number

Box

Post code

City

Country

Phone number

I have read and I accept waiver of recourse.

I've a billing address

Company name

Street name

Number

Box

Post code

City

Country

VAT

Pricing : 300,00€ inc VAT for categories Legend, Challenger and Classic.
and 250,00€ inc VAT for category Demo

Communication for the payment: Driver and co-driver name.
Attention! The subscription to the event will be validated only when the whole amount will be paid.

Royal Automobile Club de Spa
BELFIUS: IBAN BE84 0682 4501 5559 (BIC GKCCBEBB)