Applicant 3291

Application ID

Team information

Team *

Team name

Workshop Address details

Workshop Post Code

Workshop City

Workshop Country

Website

Phone number

Team manager *

Team Manager Name / Surname *

Team Manager Mobile Phone Number *

Team Manager Email *

Email address for Race Direction Notifications during events *

Press officer *

Press Officer Name/Surname *

Press Officer Mobile Phone Number *

Press Officer Email *

Team vehicles *

Parking Support Vehicle Trailer (17m x 2.5m) + Plate Number *

Parking Support Vehicle Truck (10m x 2.5m) + Plate Number *

Parking Support Vehicle Van (6m x 2m) + Plate Number *

Other

Administrative information

Company Invoicing Details

Company name / Full Name

Legal Form

Legal Representative Name/Surname (in case of individual, repeat full name)

ID Number of legal Representative

Administrative Contact Name/Surname (in case of individual, repeat full name)

TAX / VAT Number or ID Number

Company Email

Company Legal Address / Home Address

Company City

Postal Code

Company Country

Delegate's Name

If Legal Representative wants to assign a delegate for the Service Agreement:

Delegate's ID Number

Bank details

Account Holder Name/Surname *

Account Holder Email *

IBAN *

SWIFT/BIC *

Bank Entity *

Bank Address *

City *

Bank Postal code *

Select Bank Country *

Rider information

Add Rider

Applicant's First name *

Applicant's Surname *

Application type *

Start Number (option 1) *

*Chose from 2 to 99

Start Number (option 2) *

*Chose from 2 to 99

Start Number (option 3) *

*Chose from 2 to 99

Transponder number *

*Models allowed: MyLaps X2 Pro+ or MyLaps X2 Car/ Bike with direct power upgrade

Birth Date *

Place of Birth *

Nationality *

Gender *

Height *

Height must be in cm

Weight *

*Must be in kg and undressed

Helmet Size *

Languages *

Document of Identification *

ID / Passport Number *

National Federation *

Home Phone Number *

Mobile Phone Number *

Email *

Address Details *

Post Code *

City *

Country *

Rider Web Page