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PRIZE GIVING 2017



FIA EUROPEAN HILL CLIMB CHAMPIONSHIP /
FIA INTERNATIONAL HILL CLIMB CUP

SEEBACH - (DEU) 28.-29.10.2017 (DEU) - SEEBACH
Invitation 

Program Driver_EN 

Programme Pilotes_FR 

Programm Piloten_DE 
 
Contact: 
RSG Altensteiner Oberland e.V.
Marcus Malsch
Herzog Georg Str. 23a
D-36448 Bad Liebenstein
Phone: 0049 36961-699624
Fax: 0049 36961-699448
E-Mail: info@glasbachrennen.de

Prize Giving Registration for Driver

!! Term of application = 16TH OCTOBER 2017 !!

 
Personal data of the pilot 
Surname *

Name *

Street *

ZIP code - Place *

Country *

Telephone *

Mobile

Fax

E-Mail *

 
I announce the following person(s) 
Main person 1 
Surname, Name *

Companion 1 
Surname, Name

Language

Choice

Lodging

 
Main person 2 
Surname, Name

Companion 2 
Surname, Name

Language

Choice

Lodging

 
Main person 3 
Surname, Name

Companion 3 
Surname, Name

Language

Choice

Lodging

 
Main person 4 
Surname, Name

Companion 4 
Surname, Name

Language

Choice

Lodging

 
Arrival 
Travel by

Arrival place (name of the Airport, Trainstation, etc.) *

Arrival date (dd.mm.yyyy) *

Arrival time (hh.mm) *

Arrival from (name of the city) *

 
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