Inschrijfformulier Wegraces 2023

HAMOVE
Road Racing
IRRC
Offroad
Veteran

Intern. Roadraces Hengelo 6 & 7 mei 2023

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Please complete all required fields!

We're happy to welcome you to the entry form for the international roadraces in Hengelo (Gld) on the 6th and 7th of May 2023.

Please fill in all the fields correctly. This information will be used for the program, riderslist and race results.

Payment will take place at the end of this form and needs to be completed to accept your registration. You can pay with iDEAL, Bancontact, SOFORT and Creditcard.

Registration via the website is possible until the 17th of April.

Class(*)

BeNeLux Trophy Superbike - € 240.00BeNeLux Trophy Supersport - € 240.00NK Classics IHRO - € 240.00Two-Stroke - € 220.00 Ongeldige invoer

Registration for the classes IRRC, Belgian Twin Trophy, Northern Sidecar Cup and Camathias Cup is done through the organizations of the racing classes themselves. For registration you should contact the representatives of these classes yourself.

Team name(*)

Ongeldige invoer

Brand of motorcycle(*)

Ongeldige invoer

Prefered riding number

Ongeldige invoer

Information about the rider

Firstname(*)

Ongeldige invoer

Middlename

Ongeldige invoer

Lastname(*)

Ongeldige invoer

Day of Birth(*)

/ / Ongeldige invoer

Street(*)

Ongeldige invoer

House number(*)

Ongeldige invoer

ZIP(*)

Ongeldige invoer

City(*)

Ongeldige invoer

Country(*)

Ongeldige invoer

E-mail adress(*)

Ongeldige invoer

Phone

Ongeldige invoer

Mobile phone(*)

Ongeldige invoer

Valid license number(*)

Ongeldige invoer

Licence(*)

1. I have a valid KNMV licence

2. I have a valid IDC licence

3. I have had a KNMV licence in the past 3 years

4. I haven't had a valid KNMV licence in the past 3 years

Ongeldige invoer

(old) KNMV licence number(*)

Ongeldige invoer

IDC licence number(*)

Ongeldige invoer

Member of the HAMOVE(*)

Yes, I am a member

Ongeldige invoer

Transponder

Transponder(*)

Yes, I will use my own transponder

No, I want to hire a transponder during the event

Ongeldige invoer

Costs for a transponder are: 25 euro for the weekend excluding a 100 euro deposit

Transponder number(*)

Ongeldige invoer

Emergency details

Please fill in the following two input fields who to contact in case of an accident.

Name (emergency contact)(*)

Ongeldige invoer

Phone number (emergency contact)(*)

Ongeldige invoer

Last step

Participation riders presentation in the centre of Hengelo on Friday(*)

Yes, I want to participate to the riders presentation.

Ongeldige invoer

Your stay on the paddock(*)

Truck (combinations > 10mtr)

Caravan + car/van

Camper

Tent

Ongeldige invoer

Entry costs(*)

€ 0.00 Ongeldige invoer

iDEAL Mollie

GPDR Agreement(*)

Yes, I agree that the HAMOVE will store the information filled in in this form.

Ongeldige invoer

Molen & Circuit

Varsselseweg 34
7255 NR Hengelo Gld
Navigatiesystemen: Bronckhorst (Hengelo)

Secretariaat

Varsselseweg 34
7255 NR Hengelo Gld
E-mail: info@hamove.nl
KvK: 40101668

De HAMOVE is aangesloten bij: