Cena Slovenska 2024

ENTRY FORM/ Prihláška

26.07. - 28.7.2024
Driver Name / Meno Jazdca

First Name / MenoLast Name / Priezvisko
Date of birth / Dátum narodenia

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Phone Number / Telefónne číslo

Country CodePhone number / Tel. číslo
Address

Street Address / Ulica

Street Address Line 2

City / MestoState / Province

Zip Code / PSČCountry / Krajina
Email
Nationality
Team Name / Názov sútažiaceho
Driver ASN / FMN Jazdca
Other ASN / FMN
License number / Licencia jazdca
TECHNICKA KONTROLA
Starting Number/ Štartové číslo
Transponder
Motorcycle

Brand / ZnačkaType / Typ
Championship / Majstrovstvá
AČR Czech International Championship: OPEN CHAMPIONSHIP - INTERNATIONAL OR SMF B LICENCE NECESSARY

Slovak International Road Racing Championship: OPEN CHAMPIONSHIP - INTERNATIONAL OR CAMS OR SMF B LICENCE NECESSARY

Polish Championship: OPEN CHAMPIONSHIP - INTERNATIONAL OR SMF B LICENCE NECESSARY

Polish CUP: ONLY WITH PZM NATIONAL B LICENCE

Polish SDT CUP: ONLY WITH PZM NATIONAL B LICENCE

Hungarian Champioship: OPEN CHAMPIONSHIP - INTERNATIONAL OR SMF B LICENCE NECESSARY

Hungarian CUP: OPEN CHAMPIONSHIP

CAMS Czech International RR Championship: OPEN CHAMPIONSHIP
ACR
MMSR
POL CH.
POL CUP
HUN CH
HUN CUP
CAMS
SDT
CLASS / Kategória
CLASS - ACR Czech International Championship
CLASS - Slovak International Road Racing Championship
CLASS - Polish Championship
CLASS - Polish Cup
CLASS - Hungarian Championship
CLASS - Hungarian Cup
CLASS - CAMS International Road Racing Champioship
CLASS - Polish SDT Cup
INVOICE / Faktúra
INVOICE DETAILS / Fakturačné údaje

Company name / Firma

Adress / Adresa

CityVAT Number / IČ DPH

Postal / Zip Code
TECHNICAL CARD / Technická karta
1.Motorcycle

Brand / ZnačkaType / Typ
1. VIN number / VIN číslo
KAMERA
Add 2. Motorcycle? (Same class / Rovnaká trieda)
2. Motorcycle

Brand / ZnačkaType / Typ
2. VIN number / VIN číslo
1.HELMET / Prilba
HELMET HOM. NUMBER / Číslo homologizácie
1.číslo nálepky na prilbu
Add 2.Helmet / Pridať 2. prilbu
2.HELMET / Prilba
2.HELMET HOM. NUMBER / 2. Číslo homologizácie
2.číslo nálepky na prilbu
Add 3.Helmet / Pridať 3. prilbu
3.HELMET / Prilba
3.HELMET HOM. NUMBER / 3. Číslo homologizácie
3.číslo nálepky na prilbu
Should be Empty:

ENTRY FORM/ Prihláška

TECHNICAL CARD / Technická karta