eRally Skandinavia 2022

Entry Form

eRally Skandinavia 2023, Middelfart - Trondheim, 7 - 11 June
Please note that you can fill in the Driver´s details now and update the Co-Driver´s details later, if you haven´t decided who to share your car with yet.

it is important to know how many cars will participate as early as possible. We therefore urge you to register now.

We are working on an offer to allow participants to drive distances they choose themselves. TBA
Team name - if any
Example: Team X
Driver

First name Last name
Co-Driver

First name Last name
Date of birth Driver
Day/Month/Year
Date of birth Co-Driver
Day/Month/Year
Address Driver

Street address

Street address Line 2

City

Zip code Country
Address Co-Driver

Street address

Street address Line 2

City

Zip code Country
Nationality Driver
Ex.: Norway
Nationality Co-Driver
Ex.: Norway
Email Driver
eksempel@eksempel.com
Email Co-Driver
eksempel@eksempel.com
Sex Driver

Female Male Other
Sex Co-Driver

Female Male Other
Mobile Phone Driver

Country code Mobile no.
Mobile Phone Co-Driver

Country code Mobile no.
Passport no. Driver
Passport no. Co-Driver
Driving licence no. Driver
Driving licence no. Co-Driver
CAR DETAILS
Make
Ex: Polestar
Type
Ex: Polestar 2
Registration no.
Year made
Predominant color
Country of registration
Chassis no.
Weight
Vehicle insured by company
By contract no.
Socket type accept
ENTRY FEES
Standard ticket (price per car)

Regular 1 (with the Organizer´s advertising) NOK 14.900,- (deadline by 16.00, 01.03.23) Regular 2 (without the Organizer´s advertising) NOK 28.800,- (deadline by 16.00, 01.03.23) Accomodation from 06.06-11.6 included. Driver Regularity Permit NOK 800,- (deadline by 16.00, 01.03.23) Accomodation double-room, two persons, 6-7, 7-8, 8-9., 9-10 June. (10-11 June is included above) NOK 2.000,-. This is not optional. If you have questions, please let us know!
TOTAL
Your entry fee
PAYMENT BY

Bank Transfer (preferred if payment from abroad) VIPPS (scan QR or search #742092) (Norwegians only) Please send a request for our VIPPS payment
Bank Transfer to: Ref: eRS2022

Account no: 3606 12 68841 - XLNTmedia Flaaten (org.nr. 828296752)

IBAN NO93 3606 1268 841

BIC/SWIFT SPAVNOBB

Bank: Sparebanken Vest

Jonsvollsgaten 2, N-5020 Bergen
If you have VIPPS you can pay here, either by scanning the QR code or by searching for our VIPPS number - 742092. If you want us to ask you for your VIPPS payment, please check the box above.
The entry fee includes:

- The insurance premium covering Crew´s third-party liability

- Rally plates and numbers

- Souvenir gift of the event

- Welcome cocktail

- Accomodation in at twin room (with breakfast) in Trondheim

- Gala lunch and Prize Giving Ceremony in Trondheim

- Entry fee to Dalsnibba (in the descent to Geiranger). Very nice view!!!

Entry fees will be refunded in full:

- If the entry is not accepted

- If the event is cancelled

In all other cases, no entry fees will be refunded

Once you have paid the entry fee, the registration is valid. You will be assigned a start number continuously. If you have special wishes about this, please get in touch as soon as possible!

All further information about your participation will be sent to you by email.

If you have any questions, do not hesitate to get in touch!

For more information please visit eRallySkandinavia.com.
Miscellaneous:
eRally Skandinavia 2022 arrangeres av ELBILmagasinet v/XLNTmedia Flaaten.

Oberst Angells vei 2, N-0787 Oslo. T: +47 401 21 777 E: gro@elbilmagasinet.media
Should be Empty:

Entry Form

CAR DETAILS

ENTRY FEES